Olivia Danielle Martinez, FP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23056 Issued in CA

Practice address

2557 Mowry Ave
Suite 25
Fremont, CA 94538-1603

Phone

(855) 717-1755

Fax

(661) 459-1944

NPI assigned

Jan 15, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Bay Dermatology Medical Group Inc.Group PAC ID 2466515580, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Washington Hospital Hospital, Fremont, CA, CCN 050195

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: olivianp@centerforderm.emadirect.md
• Direct secure messaging: omartinez@directaddress.net

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.

• East Bay Dermatology Medical Group Inc

  • Dermatology Physician
  • Fremont, CA
  • NPI 1447220215
  Medicare reassignment Care Compare group NPD
• East Bay Dermatology Medical Group Inc.

  • Specialist
  • Milpitas, CA
  • NPI 1467640284
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Washington Township Hospital District

  • General Acute Care Hospital
  • Fremont, CA
  • NPI 1780614685
  Care Compare affiliation

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1629490362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 CEDAR ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933042517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 MOWRY AVE",
            "address_2": "SUITE 25",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381603",
            "telephone_number": "855-717-1755",
            "fax_number": "661-459-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "OLIVIA",
        "middle_name": "DANIELLE",
        "credential": "FP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Martinez
• Jouan Martinez
• Julie Ann Martinez
• Kattia D Martinez
• Luis Fernando Martinez, LCSW
• Robert Anthony Martinez
• Sara Martinez
• Stephanie Dariana Martinez
• Stephen B. Martinez, MD
• Tania Martinez, MS COUNSELING, PPS

• Family Nurse Practitioner in Fremont, CA
• Providers in Fremont, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.