Marsha Martinez Macksa

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95027147 Issued in CA

Practice address

21651 Villa Pacifica Cir
Carson, CA 90745-1706

Phone

(424) 469-7545

NPI assigned

Feb 6, 2018

Last updated

Jan 3, 2024By 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 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Pantea Farhadi MD a Medical CorporationGroup PAC ID 6305011545, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• L a Downtown Medical Center Hospital, Los Angeles, CA, CCN 050763

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pantea Farhadi MD a Medical Corporation

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1689943946
  Medicare reassignment Care Compare group NPD
• Neuropsychology Consultants, Inc

  • Clinical Neuropsychologist
  • Los Angeles, CA
  • NPI 1841405305
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• L. a. Downtown Medical Center, LLC.

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1780183335
  Care Compare affiliation
• L. a. Downtown Medical Center, LLC.

  • Rehabilitation Hospital Unit
  • Los Angeles, CA
  • NPI 1982351565
  Care Compare affiliation

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1932608866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21651 VILLA PACIFICA CIR",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907451706",
            "telephone_number": "424-469-7545",
            "fax_number": "424-469-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21651 VILLA PACIFICA CIR",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907451706",
            "telephone_number": "424-469-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ MACKSA",
        "first_name": "MARSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95027147",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "759237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Anthony Mark
• Margaret Marquardt
• Fernando Marquez
• Adrienne Vanleer Ada Marsh, NP
• Roshaun Tijera Marshall, LVN
• Maria Angelica Martinez Nabor
• Bernice Martinez
• Johanna Martinez, D.C, L.AC.
• Martha Martinez, RD
• Fariba Matinfar

• Psychiatric/Mental Health Nurse Practitioner in Carson, CA
• Providers in Carson, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.