Elena Martinho, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G65112 Issued in CA

Practice address

1111 Las Tablas Rd
Ste 0
Templeton, CA 93465-9732

Phone

(805) 434-1511

Fax

(805) 434-3441

NPI assigned

Jul 29, 2005

Last updated

Nov 17, 2008By 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

• Elena Wiechmann Other 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: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1710987888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 LAS TABLAS RD",
            "address_2": "STE 0",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659732",
            "telephone_number": "805-434-1511",
            "fax_number": "805-434-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 LAS TABLAS RD",
            "address_2": "STE 0",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659732",
            "telephone_number": "805-434-1511",
            "fax_number": "805-434-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINHO",
        "first_name": "ELENA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G65112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G651121",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070004201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "WIECHMANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• George P. Lum, MD
• Megan Elizabeth Macha, NP
• Adriana Magee, FNP
• Mareeni T Stanislaus MD a Medical Corporation
• Marlene M Cordero M.D Incorporated.
• Mary M. Nave MD Inc.
• Brian Thomas McAllen
• Steven Jerome McAllen, M.D.
• Rebecca McAlpin, MSN, FNP-C
• Troy McClanahan, PT

• Dermatology Physician in Templeton, CA
• Providers in Templeton, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.