Individual provider Active NPI

Ann Lynn Martella, PA-C, MSPA

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1558659003
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 20535 Issued in CA
Practice address
700 S Flower St Ste 2340
Los Angeles, CA 90017
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Jul 19, 2011
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 20535 CA Primary

Addresses

Primary practice location

700 S Flower St Ste 2340
Los Angeles, CA 90017

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

1600 Campus Rd
Emmons Student Wellness Center
Los Angeles, CA 90041-3314
Phone (323) 259-2657

Other practice location 2

1600 Campus Rd
Emmons Student Wellness Center
Los Angeles, CA 90041-3314
Phone (323) 259-2657

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
I20191114003232 CA Practitioner - Physician Assistant 8527490440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Medical Seniors Group IncGroup PAC ID 1759769151, 53 clinicians

Practice addresses (Care Compare)

10000 Washington Blvd
Suite 108
Culver City, CA 90232-2782
Phone (888) 663-6331

700 S Flower St
Suite 2340
Los Angeles, CA 90017-4123
Phone (310) 500-2039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
20535CAMDAcupuncturist
PA 20535CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint Johns Medical Foundation CurrentSince Dec 1, 2019 Accepting new patients
Providence Saint John's Health Center Past Accepting new patients
G.a. E Griffin, PH.D., Inc PastSince Oct 1, 2023 Accepting new patients

Locations

10000 Washington Blvd
Ste 108
Culver City, CA 90232
Phone (310) 500-2045

700 S Flower St
Ste 2340
Los Angeles, CA 90017
Phone (310) 500-2039

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1558659003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791",
            "fax_number": "415-520-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S FLOWER ST STE 2340",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90017",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Campus Rd",
            "address_2": "Emmons Student Wellness Center",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900413314",
            "country_code": "US",
            "telephone_number": "323-259-2657",
            "fax_number": "323-341-4970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Campus Rd",
            "address_2": "Emmons Student Wellness Center",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900413314",
            "country_code": "US",
            "telephone_number": "323-259-2657",
            "fax_number": "323-341-4970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTELLA",
        "first_name": "ANN",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA-C, MSPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 20535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.