Active NPI
Maria Nisha Martins, MD
- Pediatrics Physician
- Davis, CA
National Provider Identifier
1700112828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A100891
- Practice address
- 2660 W Covell Blvd
Davis, CA 95616-5645 - Phone
- (530) 747-3000
- NPI assigned
- Oct 23, 2009
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A100891 | CA | Primary |
Addresses
Primary practice location
2660 W Covell Blvd
Davis, CA 95616-5645
Mailing address
1401 Caceres Way
Davis, CA 95618-6703
Phone (530) 923-7110
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 |
|---|---|---|---|
| A100891 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essent PRMC LP | Past | Accepting new patients | |
| Regents of the Univ of Ca | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407456000000",
"number": "1700112828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 CACERES WAY",
"city": "DAVIS",
"state": "CA",
"postal_code": "956186703",
"telephone_number": "530-923-7110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2660 W COVELL BLVD",
"city": "DAVIS",
"state": "CA",
"postal_code": "956165645",
"telephone_number": "530-747-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINS",
"first_name": "MARIA",
"middle_name": "NISHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-23",
"last_updated": "2014-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A100891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.