Individual provider Active NPI

Elizabeth Martinez, FNP

  • Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1235789181
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95012779 Issued in CA
Practice address
18021 Sky Park Cir Ste G
Irvine, CA 92614-6569
Phone
(714) 432-1400
NPI assigned
Sep 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95012779 CA Primary

Addresses

Primary practice location

18021 Sky Park Cir Ste G
Irvine, CA 92614-6569

Mailing address

18021 Sky Park Cir Ste G
Irvine, CA 92614-6569

Other practice location 1

2976 Royal Palm Dr Apt C
Costa Mesa, CA 92626-3833
Phone (949) 351-3159

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
I20200410001495 CA Practitioner - Nurse Practitioner 9638508773 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem DO IncGroup PAC ID 1254505753, 2 clinicians

Practice addresses (Care Compare)

2040 S Euclid St
Anaheim, CA 92802-3111
Phone (714) 636-2800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95012779CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salem D O Inc Family Medicine CurrentSince Feb 29, 2020 Accepting new patients
Albion Medical Partners of California West P C CurrentSince Jan 10, 2022 Accepting new patients
Hoag Clinic CurrentSince Aug 9, 2021 Accepting new patients

Locations

2040 S Euclid St
Anaheim, CA 92802
Phone (714) 626-2800

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800

18021 Sky Park Cir
Ste G
Irvine, CA 92614
Phone (949) 260-0744

1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533

200 Hospital Cir
Westminster, CA 92683
Phone (714) 386-9043

240 Hospital Cir
Westminster, CA 92683
Phone (714) 892-6686

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 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": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1235789181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18021 SKY PARK CIR STE G",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146569",
            "fax_number": "786-652-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18021 SKY PARK CIR STE G",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146569",
            "telephone_number": "714-432-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2976 Royal Palm Dr Apt C",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926263833",
            "country_code": "US",
            "telephone_number": "949-351-3159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.