Individual provider Active NPI

Marysol Martinez, PA-C

  • Physician Assistant
  • Litchfield Park, AZ
National Provider Identifier
1033095427
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
315 W Alegre Dr
Litchfield Park, AZ 85340-4309
Phone
(786) 326-5493
NPI assigned
Aug 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

315 W Alegre Dr
Litchfield Park, AZ 85340-4309

Mailing address

315 W Alegre Dr
Litchfield Park, AZ 85340-4309
Phone (786) 326-5493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Yale University School of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1801 SW 103Rd Ave
Miami, FL 33165-7317

25044 Peachland Ave
Suite 110
Newhall, CA 91321-2577

315 W Alegre Dr
Litchfield Park, AZ 85340-4309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Healing Care Specialists Wa PC CurrentSince Dec 15, 2025 Accepting new patients

Locations

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

450 Alaskan Way S
Ste 200
Seattle, WA 98104
Phone (206) 208-9095

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1033095427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W ALEGRE DR",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404309",
            "telephone_number": "786-326-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W ALEGRE DR",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404309",
            "telephone_number": "786-326-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARYSOL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

Verify at the official NPI Registry.