Active NPI
Alyssa Martin, MSN, APRN, FNP-BC
- Family Nurse Practitioner
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95014544
- Practice address
- 1001 Sylvan Ave Ste a
Modesto, CA 95350-1699 - Phone
- (209) 248-7168
- Fax
- (209) 846-9641
- NPI assigned
- Jun 4, 2020
- Last updated
- May 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95014544 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95014544 | CA | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 95014544 | CA |
Addresses
Primary practice location
1001 Sylvan Ave Ste a
Modesto, CA 95350-1699
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071
Other practice location 1
1541 Florida Ave Ste 200
Modesto, CA 95350-4438
Phone (209) 577-3388
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1409 E Briggsmore Ave
Modesto, CA 95355-2707
Phone (209) 524-1211
1552 Coffee Rd
Suite 200
Modesto, CA 95355-3122
Phone 2092487168151
1700 Coffee Rd
Modesto, CA 95355-2803
Phone (209) 526-4500
600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central California Bariatric Surgery, Partnership | Current | Accepting new patients | |
| Central California Bariatric Surgery a Medical Corporation | Current | Accepting new patients |
Locations
1001 Sylvan Ave
Ste A
Modesto, CA 95350
Phone (209) 248-7168
1552 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 248-7168
644 E Harding Way
Stockton, CA 95204
644 E Harding Way
Ste B
Stockton, CA 95204
Phone (209) 244-9191
Interoperability endpoints
- amartin618102@hisp.ehr.sutterhealth.org
Organizations & group practices 3
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.
-
- Surgery Physician
- Modesto, CA
- NPI 1124141163
-
dba Sutter Gould Medical Foundation
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Surgery Physician
- Modesto, CA
- NPI 1104632249
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Medical Center
- General Acute Care Hospital
- Modesto, CA
- NPI 1699129601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1114541117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228",
"telephone_number": "800-470-0071",
"fax_number": "916-854-6769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SYLVAN AVE STE A",
"city": "MODESTO",
"state": "CA",
"postal_code": "953501699",
"telephone_number": "209-248-7168",
"fax_number": "209-846-9641"
}
],
"practiceLocations": [
{
"address_1": "1541 Florida Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953504438",
"country_code": "US",
"telephone_number": "209-577-3388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "ALYSSA",
"credential": "MSN, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-04",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95014544",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95014544",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95014544",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.