Individual provider Active NPI

Elizabeth Barg Martorana, PA-C

  • Medical Physician Assistant
  • American Canyon, CA
National Provider Identifier
1205076361
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA19200 Issued in CA
Practice address
3431 Broadway St Ste A8
American Canyon, CA 94503-1228
Phone
(707) 492-5014
NPI assigned
Mar 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA19200 CA Primary

Addresses

Primary practice location

3431 Broadway St Ste A8
American Canyon, CA 94503-1228

Mailing address

1141 Pear Tree LN Ste 100
Napa, CA 94558-6485

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
I20101113000184 CA Practitioner - Physician Assistant 9133314347 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA19200CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ole Health CurrentSince Sep 22, 2010 Accepting new patients
Ole Health Past Accepting new patients

Locations

3431 Broadway St
Ste A8
American Cyn, CA 94503
Phone (707) 645-7229

1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778

Interoperability endpoints

  • Direct secure messaging: emartorana675829@direct.ochin.org

Organizations & group practices 4

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": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1205076361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 PEAR TREE LN STE 100",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3431 BROADWAY ST STE A8",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945031228",
            "telephone_number": "707-492-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTORANA",
        "first_name": "ELIZABETH",
        "middle_name": "BARG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA19200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Canyon, CA

Sources for this page

Verify at the official NPI Registry.