Individual provider Active NPI

Guadalupe Gomez-Martinez, FNP

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1235672387
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95001300 Issued in CA
Practice address
1551 E Shaw Ave Ste 139
Fresno, CA 93710-8025
Phone
(559) 320-0490
Fax
(559) 320-0494
NPI assigned
Nov 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95001300 CA Primary

Addresses

Primary practice location

1551 E Shaw Ave Ste 139
Fresno, CA 93710-8025

Mailing address

1551 E Shaw Ave Ste 139
Fresno, CA 93710-8025
Phone (559) 320-0490

Other names 1

  • Lupe Gomez-Martinez Other name

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
I20231208001035 CA Practitioner - Nurse Practitioner 2466882501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Wound and Skin Care IncGroup PAC ID 7315212834, 30 clinicians

Practice addresses (Care Compare)

1821 E Chapman Ave
Fullerton, CA 92831-4102
Phone (818) 856-9535

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Wound and Skin Care Inc CurrentSince Oct 15, 2023 Accepting new patients
Fresno American Indian Health Project PastSince Mar 1, 2020 Accepting new patients

Locations

2501 W Burbank Blvd
Ste 200
Burbank, CA 91505
Phone (818) 732-8272

1821 E Chapman Ave
Fullerton, CA 92831
Phone (714) 879-7301

3615 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 639-4623

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1235672387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 E SHAW AVE STE 139",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108025",
            "telephone_number": "559-320-0490",
            "fax_number": "559-320-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 E SHAW AVE STE 139",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108025",
            "telephone_number": "559-320-0490",
            "fax_number": "559-320-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-MARTINEZ",
        "first_name": "GUADALUPE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUPE",
            "last_name": "GOMEZ-MARTINEZ",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.