Individual provider Active NPI

Martha Alicia Chavez-Rangel, FNP

  • Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1073384608
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95027488 Issued in CA
Practice address
3200 Long Beach Blvd
Long Beach, CA 90807-5062
Phone
(562) 548-6500
NPI assigned
Jan 11, 2024
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95027488 CA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95027488 CA

Addresses

Primary practice location

3200 Long Beach Blvd
Long Beach, CA 90807-5062

Mailing address

3210 Long Beach Blvd
Long Beach, CA 90807-5062
Phone (562) 548-6500

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250403003802 CA Practitioner - Nurse Practitioner 8325562002 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun Medical Group IncGroup PAC ID 8426388810, 19 clinicians

Practice addresses (Care Compare)

27522 Antonio Pkwy
Suite P3
Ladera Ranch, CA 92694-2166
Phone (949) 207-3786

4867 W Sunset Blvd
Los Angeles, CA 90027-5969
Phone (323) 783-4011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95027488CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Medical Group, Inc CurrentSince Feb 5, 2025 Accepting new patients
Sun Medical Group, Inc. CurrentSince Feb 5, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jun 10, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jun 10, 2025 Accepting new patients
Alp Medical Services PC CurrentSince Jan 1, 2026 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Derm Lounge PC CurrentSince Apr 17, 2025 Accepting new patients
Advance Urgent Medical Group Inc PastSince Feb 1, 2024 Accepting new patients

Locations

1711 W Katella Ave
Anaheim, CA 92804
Phone (714) 337-9393

1713 W Katella Ave
Anaheim, CA 92804
Phone (714) 798-2900

113 Waterworks Way
Ste 210
Irvine, CA 92618
Phone (714) 442-6642

27522 Antonio Pkwy
Ste P3
Ladera Ranch, CA 92694
Phone (949) 207-3786

4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784

4867 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 783-7920

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEDIBA/Endpoint/FEDIBA

Organizations & group practices 8

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": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1073384608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908075062",
            "telephone_number": "562-548-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908075062",
            "telephone_number": "562-548-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ-RANGEL",
        "first_name": "MARTHA",
        "middle_name": "ALICIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95027488",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95027488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3200 Long Beach Blvd",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908075062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.