Martha Anne Stewart, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

52362 Issued in CA

Practice address

1665 Dominican Way
Suite 222
Santa Cruz, CA 95065-1580

Phone

(844) 387-5337

Fax

(866) 264-3890

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Sirish Nakka MD Inc

  • Sleep Specialist (PhD)
  • Santa Cruz, CA
  • NPI 1609579069
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1285707653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 DOMINICAN WAY",
            "address_2": "SUITE 222",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651580",
            "telephone_number": "844-387-5337",
            "fax_number": "866-264-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 DOMINICAN WAY",
            "address_2": "SUITE 222",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651580",
            "telephone_number": "844-387-5337",
            "fax_number": "866-264-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MARTHA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CA147934",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anudeva Stevens
• Julia Stevens, N.P.
• Nita Eder Stevens, M.S.
• Caitlyn Stewart, RRW
• Lisa Veronica Stewart
• Rose Stewart
• Steven Donald Stewart, D.C.
• Joel A Stiles, PH.D.
• Shikira Marie Tierra Stiles, MSOT
• Steven Stiles

• Physician Assistant in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.