Vanessa Martinez Hall, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95014022 Issued in CA

Practice address

11900 Avalon Blvd
Los Angeles, CA 90061-2866

Phone

(323) 756-1317

NPI assigned

Feb 25, 2020

Last updated

Feb 25, 2020By the provider in NPPES

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

Other identifiers 2

Other names 1

• Vanessa Martinez Ortiz Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: vmartinezhall@ecsc.adaptamed.direct-ci.com

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.

• Clare Matrix

  • Substance Abuse Rehabilitation Facility
  • Santa Monica, CA
  • NPI 1104398742
  Medicare reassignment NPD
• El Dorado Community Service Center

  dba Inglewood Medical & Mental Health Services

  • Primary Care Clinic/Center
  • Inglewood, CA
  • NPI 1700882156
  Medicare reassignment NPD
• Clare Matrix

  dba CLARE Foundation Inc., dba MATRIX Institute on Addictions

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Los Angeles, CA
  • NPI 1235349267
  NPD
• Clare Matrix

  dba Matrix Institute on Addictions

  • Community/Behavioral Health Agency
  • Ontario, CA
  • NPI 1992129282
  NPD
• El Dorado Community Service Center

  dba Santa Clarita Medical & Mental Health Services

  • Primary Care Clinic/Center
  • Newhall, CA
  • NPI 1508935230
  NPD

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1649804972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6126 HARVEY WAY",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907133126",
            "telephone_number": "562-668-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 AVALON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900612866",
            "telephone_number": "323-756-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "VANESSA",
        "middle_name": "MARTINEZ",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "95014022",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENCE",
            "identifier": "95076133",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "ORTIZ",
            "middle_name": "MARTINEZ",
            "credential": "VANESSA HALL FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tehira Hall
• Terrina Jazzmean Hall
• Terry Hall
• Theodore Hall, MD
• Trusana Monique Hall, LICENSED VOCATIONAL
• Veronica Hall, RN
• Violet Hall
• Hall;S Medical Transport Service
• Mia Berry Halladay
• Halle M. Aten, PH.D., a Psychological Corporation (The Aten Group Comprehensive Psychological Services)

• Family Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, 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 Feb 25, 2020; 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.

Verify at the official NPI Registry.