Individual provider Active NPI

Tayler Victoria Martz, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ventura, CA
National Provider Identifier
1437957552
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95033852 Issued in CA
Practice address
1752 S Victoria Ave Ste 250
Ventura, CA 93003-6152
Phone
(805) 650-3880
NPI assigned
Mar 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95033852 CA Primary

Addresses

Primary practice location

1752 S Victoria Ave Ste 250
Ventura, CA 93003-6152

Mailing address

753 Winchester Dr
Oxnard, CA 93036-1473
Phone (805) 815-2446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 5, 2026 through Jun 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95033852CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lee D. Mendiola MD PC PastSince Mar 11, 2025 Accepting new patients

Organizations & group practices 1

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": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1437957552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 WINCHESTER DR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930361473",
            "telephone_number": "805-815-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 S VICTORIA AVE STE 250",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036152",
            "telephone_number": "805-650-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTZ",
        "first_name": "TAYLER",
        "middle_name": "VICTORIA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95033852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.