Individual provider Active NPI

Juana Martinez

  • Physician Assistant
  • Westlake Village, CA
National Provider Identifier
1922869700
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA64932 Issued in CA
Practice address
32144 Agoura Rd Ste 106
Westlake Village, CA 91361-4040
Phone
(805) 379-3376
NPI assigned
Jan 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA64932 CA Primary

Addresses

Primary practice location

32144 Agoura Rd Ste 106
Westlake Village, CA 91361-4040

Mailing address

32144 Agoura Rd Ste 106
Westlake Village, CA 91361-4040
Phone (805) 379-3376

Other practice location 1

3615 Las Posas Rd Ste F100
Camarillo, CA 93010-1428
Phone (805) 484-2813

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
I20241112000771 CA Practitioner - Physician Assistant 4981138021 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64932CAMDDentist
PA64932CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Daphne I Panagotacos MD CurrentSince Sep 14, 2025 Accepting new patients
Daphne I Panagotacos MD PastSince Sep 14, 2025 Accepting new patients

Locations

32144 Agoura Rd
Ste 106
Westlake Vlg, CA 91361
Phone (805) 379-3376

Organizations & group practices 3

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": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1922869700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32144 AGOURA RD STE 106",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614040",
            "telephone_number": "805-379-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32144 AGOURA RD STE 106",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614040",
            "telephone_number": "805-379-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3615 Las Posas Rd Ste F100",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930101428",
            "country_code": "US",
            "telephone_number": "805-484-2813",
            "fax_number": "805-484-2316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JUANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA64932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.