Active NPI
Elizabeth A Martinez, PA
- Physician Assistant
- Huntington Park, CA
National Provider Identifier
1598873846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA12262
- Practice address
- 2700 E Slauson Ave
Suite 200
Huntington Park, CA 90255-3000 - Phone
- (323) 588-8558
- NPI assigned
- Aug 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA12262 | CA | Primary |
Addresses
Primary practice location
2700 E Slauson Ave
Suite 200
Huntington Park, CA 90255-3000
Mailing address
1045 Atlantic Ave
Suite 705
Long Beach, CA 90813-3408
Phone (562) 491-9281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140109000368 | CA | Order and Referring Only - Physician Assistant | 9537397997 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA12262 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598873846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 ATLANTIC AVE",
"address_2": "SUITE 705",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908133408",
"telephone_number": "562-491-9281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 E SLAUSON AVE",
"address_2": "SUITE 200",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902553000",
"telephone_number": "323-588-8558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA12262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.