Active NPI
Bea Martin, PA-C
- Medical Physician Assistant
- Murrieta, CA
National Provider Identifier
1710355664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 52239
- Practice address
- 25405 Hancock Ave
Suite 216
Murrieta, CA 92562-5982 - Phone
- (951) 698-4600
- Fax
- (951) 514-2542
- NPI assigned
- Sep 9, 2015
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 52239 | CA | Primary |
Addresses
Primary practice location
25405 Hancock Ave
Suite 216
Murrieta, CA 92562-5982
Mailing address
25405 Hancock Ave
Suite 216
Murrieta, CA 92562-5982
Phone (951) 698-4600
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52239 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1710355664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25405 HANCOCK AVE",
"address_2": "SUITE 216",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925625982",
"telephone_number": "951-698-4600",
"fax_number": "951-514-2542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25405 HANCOCK AVE",
"address_2": "SUITE 216",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925625982",
"telephone_number": "951-698-4600",
"fax_number": "951-514-2542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "BEA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-09",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "52239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.