Individual provider Active NPI

Marta Sarita Sarmiento, M.D.

  • Pediatrics Physician
  • Orange, CA
National Provider Identifier
1457571697
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G54215 Issued in CA
Practice address
725 W la Veta Ave Ste 240
Orange, CA 92868-4446
Phone
(714) 771-2229
Fax
(714) 771-1108
NPI assigned
Apr 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G54215 CA Primary

Addresses

Primary practice location

725 W la Veta Ave Ste 240
Orange, CA 92868-4446

Mailing address

725 W la Veta Ave Ste 240
Orange, CA 92868-4446
Phone (714) 771-2229

Other identifiers 1

IdentifierTypeStateIssuer
00G542150OtherCAMEDI CAL

Other names 1

  • Dr. Marta Sarita Valdivieso Sarmiento Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G54215CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Past Accepting new patients
Queen of the Valley Medical Association Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
Marta Sarmiento, M.D.,Inc. Pediatrics Past Accepting new patients
Children'S Hospital of Orange County Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Organizations & group practices 6

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": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1457571697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W LA VETA AVE STE 240",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684446",
            "telephone_number": "714-771-2229",
            "fax_number": "714-771-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W LA VETA AVE STE 240",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684446",
            "telephone_number": "714-771-2229",
            "fax_number": "714-771-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARMIENTO",
        "first_name": "MARTA",
        "middle_name": "SARITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G54215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "00G542150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTA",
            "last_name": "VALDIVIESO SARMIENTO",
            "middle_name": "SARITA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.