Active NPI
Desiree Martinez
- Physician Assistant
- El Paso, TX
National Provider Identifier
1881148401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10540
- Practice address
- 4815 Alameda Ave
El Paso, TX 79905-2705 - Phone
- (915) 215-4600
- NPI assigned
- Aug 11, 2016
- Last updated
- Nov 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10540 | TX | Primary |
Addresses
Primary practice location
4815 Alameda Ave
El Paso, TX 79905-2705
Mailing address
440 Raynolds St # 51015
El Paso, TX 79905-1613
Phone (915) 215-4480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- desiree.martinez@direct.myhealthep.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1881148401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 RAYNOLDS ST # 51015",
"city": "EL PASO",
"state": "TX",
"postal_code": "799051613",
"telephone_number": "915-215-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 ALAMEDA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052705",
"telephone_number": "915-215-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "DESIREE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-11",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA10540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.