Individual provider Active NPI

Sarah Josephine Martinez

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1467222885
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030394 Issued in CA
Practice address
6797 E Cetti Ave
Fresno, CA 93727-6046
Phone
(559) 905-7607
NPI assigned
Jan 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95030394 CA Primary

Addresses

Primary practice location

6797 E Cetti Ave
Fresno, CA 93727-6046

Mailing address

2440 W Tahoe Ave
Caruthers, CA 93609-9476
Phone (559) 864-3212

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
I20241126002392 CA Practitioner - Nurse Practitioner 6901331073 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reedley Community Hospital CurrentSince Oct 28, 2024 Accepting new patients
Reedley Community Hospital CurrentSince Oct 28, 2024 Accepting new patients

Locations

2440 W Tahoe Ave
Caruthers, CA 93609
Phone (559) 864-3212

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

Organizations & group practices 2

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": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1467222885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 W TAHOE AVE",
            "city": "CARUTHERS",
            "state": "CA",
            "postal_code": "936099476",
            "telephone_number": "559-864-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6797 E CETTI AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937276046",
            "telephone_number": "559-905-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "SARAH",
        "middle_name": "JOSEPHINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.