Individual provider Active NPI

Lenna Alessandra Martyak, M.D.

  • Gastroenterology Physician
  • Santa Monica, CA
National Provider Identifier
1164638177
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A87515 Issued in CA
Practice address
1301 20TH St Ste 280
Santa Monica, CA 90404-2053
Phone
(310) 829-6789
Fax
(310) 935-3163
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A87515 CA Primary

Addresses

Primary practice location

1301 20TH St Ste 280
Santa Monica, CA 90404-2053

Mailing address

1301 20TH St 376
Santa Monica, CA 90404-2087
Phone (310) 829-6789

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmartyak473369@oc.providencedirect.org

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
I20080523000423 CA Practitioner - Gastroenterology 6800965385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Georgetown University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Saint Johns Medical FoundationGroup PAC ID 0840548624, 282 clinicians

Practice addresses (Care Compare)

1301 20TH St
Santa Monica, CA 90404-2053

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone (310) 829-5511

2336 Santa Monica Blvd
Suite 204
Santa Monica, CA 90404-2938
Phone (310) 829-6789

Hospital & facility affiliations

  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
96.07
Promoting interoperability
100
Improvement activities
40
Cost
71.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy102
Upper gastrointestinal (GI) endoscopy for acid reflux125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87515CAMDPharmacist
A87515CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint Johns Medical Foundation CurrentSince Aug 1, 2018 Accepting new patients
Digestive Health Associates of Southern California CurrentSince Feb 1, 2018 Accepting new patients
Digestive Health Associates of Southern California Gastroenterology CurrentSince Feb 1, 2018 Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients
The Regents of the University of California Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Brotman Medical Center, Inc. Past Accepting new patients
Saint John'S Health Clinic Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

1301 20th St
Ste 270
Santa Monica, CA 90404
Phone (310) 828-8585

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

1301 20th St
Ste 280
Santa Monica, CA 90404
Phone (310) 829-6789

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1164638177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 20TH ST 376",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042087",
            "telephone_number": "310-829-6789",
            "fax_number": "310-935-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 280",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042053",
            "telephone_number": "310-829-6789",
            "fax_number": "310-935-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTYAK",
        "first_name": "LENNA",
        "middle_name": "ALESSANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A87515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmartyak473369@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1301 20th St Ste 280",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904042053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.