Julia Demetrious Martin, 494412

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

494412 Issued in CA

Practice address

550 S Vermont Ave
11TH Floor
Los Angeles, CA 90020-1912

Phone

(213) 639-6777

Fax

(213) 637-0790

NPI assigned

Jan 22, 2007

Last updated

Jul 8, 2007By 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 names 1

• Julia Demetrious West Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922152438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15313 RANCHO POLERMO RD",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907234569",
            "telephone_number": "562-408-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S VERMONT AVE",
            "address_2": "11TH FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201912",
            "telephone_number": "213-639-6777",
            "fax_number": "213-637-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JULIA",
        "middle_name": "DEMETRIOUS",
        "name_prefix": "Mrs.",
        "credential": "494412",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "494412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "WEST",
            "middle_name": "DEMETRIOUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jheralyn G Martin, MSPA-C
• Joanna Martin, AMFT
• John P. Martin, MD
• Jordan Martin
• Joseph Standley Martin
• Kathleen Martin, ABOC
• Keith Eric Martin, MSW
• Kevin Douglas PO'Okela Martin, L.V.N.
• Kevin Earl Martin
• Laura Elizabeth Martin, OTR/L

• Psychiatric/Mental Health Registered Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.