Individual provider Active NPI

Martha F. Tapia, DO

  • Pediatrics Physician
  • Valley Springs, CA
National Provider Identifier
1770661670
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20A7804 Issued in CA
Practice address
51 Wellness Way
Valley Springs, CA 95252-9736
Phone
(209) 772-7070
NPI assigned
Nov 1, 2006
Last updated
Mar 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 20A7804 CA Primary
Pediatrics Physician 208000000X H0058024 MD

Addresses

Primary practice location

51 Wellness Way
Valley Springs, CA 95252-9736

Mailing address

51 Wellness Way
Valley Springs, CA 95252-9736
Phone (209) 772-7070

Other identifiers 1

IdentifierTypeStateIssuer
00AX78040MedicaidCA

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
20A7804CAMDPediatrics Physician
H0058024MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Twain Health Care District CurrentSince Apr 6, 2023 Accepting new patients

Locations

51 Wellness Way
Valley Springs, CA 95252
Phone (209) 772-7070

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1770661670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WELLNESS WAY",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952529736",
            "telephone_number": "209-772-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 WELLNESS WAY",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952529736",
            "telephone_number": "209-772-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPIA",
        "first_name": "MARTHA",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A7804",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "H0058024",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX78040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.