Stephanie Martinez, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95014587 Issued in CA

Practice address

8690 Center Dr
La Mesa, CA 91942-3057

Phone

(619) 697-1325

NPI assigned

Aug 1, 2022

Last updated

Aug 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ervin S. Wheeler, M.D., a Medical Corporation

  • Plastic Surgery Physician
  • La Mesa, CA
  • NPI 1538301882
  NPD (past)
• Kamran Azad, MD P.a.

  • Plastic Surgery Physician
  • Winter Park, FL
  • NPI 1750752614
  NPD (past)

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1053047076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8889 NOELINE AVE",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919775716",
            "telephone_number": "619-806-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8690 CENTER DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423057",
            "telephone_number": "619-697-1325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Medical Center Ct",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919116617",
            "country_code": "US",
            "telephone_number": "619-502-3180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "STEPHANIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Martin, MS, CCC-SLP
• Margaret Macy Martin, LCSW
• Robert Lee Martin, PH.D.
• Patricia Barbara Martinez, LCSW
• Robert Martinez, CNS
• Teresa Martinez
• Marvin R Kasanoff OD a Professional Corporation (New View Optometric Center)
• Brandon Tyler Mason, DC
• Hailey Amanda Mason, PA
• Marissa Mason

• Family Nurse Practitioner in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.