Individual provider Active NPI

Evelyn NA-Adjieley Tetteh-Martey, MD

  • Internal Medicine Physician
  • Sun City, CA
National Provider Identifier
1619068137
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A81873 Issued in CA
Practice address
28401 Bradley Rd
#A
Sun City, CA 92586
Phone
(951) 679-7022
Fax
(951) 672-9541
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A81873 CA Primary

Addresses

Primary practice location

28401 Bradley Rd
#A
Sun City, CA 92586

Mailing address

1001 S State St
Apple Medical Center and Urgent Care Inc
Hemet, CA 92543-7635
Phone (951) 925-2525

Other identifiers 1

IdentifierTypeStateIssuer
00A818730MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A81873CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Healthcare Medical Center Inc Past Accepting new patients
Apple Urgent Care, Inc Past Accepting new patients

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619068137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S STATE ST",
            "address_2": "APPLE MEDICAL CENTER AND URGENT CARE INC",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925437635",
            "telephone_number": "951-925-2525",
            "fax_number": "951-925-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28401 BRADLEY RD",
            "address_2": "#A",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "92586",
            "telephone_number": "951-679-7022",
            "fax_number": "951-672-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETTEH-MARTEY",
        "first_name": "EVELYN",
        "middle_name": "NA-ADJIELEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A81873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A818730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.