Active NPI
Evelyn NA-Adjieley Tetteh-Martey, MD
- Internal Medicine Physician
- Sun City, CA
National Provider Identifier
1619068137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A81873
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A818730 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A81873 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Hematology & Oncology Physician
- Hemet, CA
- NPI 1124453055
-
- Urgent Care Clinic/Center
- Perris, CA
- NPI 1396444261
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.