Individual provider Active NPI

Erica Suzanne Martinez, NP

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1225625221
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95016303 Issued in CA
Practice address
200 UCLA Medical PLZ Ste 120
Los Angeles, CA 90095-0609
Phone
(310) 206-6909
NPI assigned
Dec 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95016303 CA
Nurse Practitioner 363L00000X 95016303 CA Primary

Addresses

Primary practice location

200 UCLA Medical PLZ Ste 120
Los Angeles, CA 90095-0609

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707

Other practice location 1

11810 Patton Rd
Downey, CA 90241-5237
Phone (562) 922-4300

Other practice location 2

970 S Village Oaks Dr Ste 102
Covina, CA 91724-0609
Phone (626) 347-4483

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ericamartinez@charterhcg.com 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
I20221026002247 CA Practitioner - Nurse Practitioner 7012383474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95016303CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charter Health Care Group LLC CurrentSince Oct 1, 2021 Accepting new patients
St. Johns Community Health CurrentSince Jun 8, 2022 Accepting new patients
St. Johns Community Health Current Accepting new patients
St. Johns Community Health CurrentSince Jun 8, 2022 Accepting new patients

Locations

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

970 S Village Oaks Dr
Ste 102
Covina, CA 91724
Phone (626) 347-4483

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": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1225625221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ STE 120",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950609",
            "telephone_number": "310-206-6909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11810 Patton Rd",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902415237",
            "country_code": "US",
            "telephone_number": "562-922-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "970 S Village Oaks Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917240609",
            "country_code": "US",
            "telephone_number": "626-347-4483",
            "fax_number": "626-380-3909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ERICA",
        "middle_name": "SUZANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016303",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95016303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ericamartinez@charterhcg.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "970 S Village Oaks Dr Ste 102",
            "city": "Covina",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917240609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.