Active NPI
Elizabeth Martinez, FNP
- Nurse Practitioner
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95012779
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95012779 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem D O Inc | Family Medicine | Current | Accepting new patients |
| Albion Medical Partners of California West P C | Current | Accepting new patients | |
| Hoag Clinic | Current | 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
- https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
- 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.
-
- Geriatric Medicine (Family Medicine) Physician
- Irvine, CA
- NPI 1467732057
-
- Internal Medicine Physician
- Cerritos, CA
- NPI 1073110607
-
- Primary Care Clinic/Center
- Newport Beach, CA
- NPI 1942799523
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tustin, CA
- NPI 1043632938
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.