Individual provider Active NPI

Evangelina E Martinez, MD

  • Family Medicine Physician
  • Monterey, CA
National Provider Identifier
1023193430
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G54793 Issued in CA
Practice address
2 Upper Ragsdale Dr Ste B200
Monterey, CA 93940-7844
Phone
(831) 375-6334
Fax
(831) 375-6331
NPI assigned
Oct 25, 2006
Last updated
May 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G54793 CA Primary

Addresses

Primary practice location

2 Upper Ragsdale Dr Ste B200
Monterey, CA 93940-7844

Mailing address

2 Upper Ragsdale Dr Ste B200
Monterey, CA 93940-7844
Phone (831) 375-6334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041018001281 CA Practitioner - Family Practice 0840250353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Monterey Endocrine and Diabetes Institute, Inc CurrentSince Mar 20, 2019 Accepting new patients
Daniel Jimenez M.D., Inc. PastSince Jan 1, 1990 Accepting new patients

Locations

2 Upper Ragsdale Dr
Ste B200
Monterey, CA 93940
Phone (831) 204-0178

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1023193430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 UPPER RAGSDALE DR STE B200",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407844",
            "telephone_number": "831-375-6334",
            "fax_number": "831-375-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 UPPER RAGSDALE DR STE B200",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407844",
            "telephone_number": "831-375-6334",
            "fax_number": "831-375-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "EVANGELINA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G54793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.