Individual provider Active NPI

Maria Salome Mathews Martin

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1891478442
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95025856 Issued in CA
Practice address
25825 Vermont Ave, Los Angeles, Ca 90710
Los Angeles, CA 90710
Phone
(833) 574-2273
NPI assigned
Aug 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95025856 CA Primary
Inpatient Obstetric Registered Nurse 163WX0003X 95207026 CA

Addresses

Primary practice location

25825 Vermont Ave, Los Angeles, Ca 90710
Los Angeles, CA 90710

Mailing address

6507 Ocean Crest Dr Apt 309
Rancho Palos Verdes, CA 90275-5442
Phone (410) 897-7816

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
I20250129000671 CA Practitioner - Nurse Practitioner 6406385988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Onclick Healthcare IncorporatedGroup PAC ID 9830511260, 63 clinicians

Practice addresses (Care Compare)

Calabasas, CA 91302
Phone (818) 230-2116

2625 Townsgate Rd
Suite 330
Westlake Village, CA 91361-5749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95207026CAMDInpatient Obstetric Registered Nurse

Interoperability endpoints

  • Direct secure messaging: maria.matthews.p1@direct.goldstandardurology.nextgenshare.com

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": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1891478442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 OCEAN CREST DR APT 309",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902755442",
            "telephone_number": "410-897-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25825 VERMONT AVE, LOS ANGELES, CA 90710",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90710",
            "telephone_number": "833-574-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS MARTIN",
        "first_name": "MARIA",
        "middle_name": "SALOME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025856",
            "primary": true
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "CA",
            "license": "95207026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.