Individual provider Active NPI

Karen Patricia Martinez, PA-C

  • Medical Physician Assistant
  • Duarte, CA
National Provider Identifier
1790915882
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA20414 Issued in CA
Practice address
1034 Huntington Dr
Duarte, CA 91010-2449
Phone
(626) 256-3638
Fax
(626) 256-4168
NPI assigned
Jul 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA20414 CA Primary

Addresses

Primary practice location

1034 Huntington Dr
Duarte, CA 91010-2449

Mailing address

1034 Huntington Dr
Duarte, CA 91010-2449
Phone (626) 256-3638

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141125000109 CA Practitioner - Physician Assistant 0941522130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA20414CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
La Paz Medical Clinic, Inc CurrentSince Feb 18, 2014 Accepting new patients

Locations

1345 Huntington Dr
Duarte, CA 91010
Phone (626) 359-8604

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1790915882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 HUNTINGTON DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102449",
            "telephone_number": "626-256-3638",
            "fax_number": "626-256-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 HUNTINGTON DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102449",
            "telephone_number": "626-256-3638",
            "fax_number": "626-256-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "KAREN",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA20414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duarte, CA

Sources for this page

Verify at the official NPI Registry.