DR. KELLY ANN MARTINEZ (NPI# 1063616639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063616639 |
Entity Type | Individual |
Full Name | DR. KELLY ANN MARTINEZ |
Credential | MD |
Practice Address |
150 Valpreda Rd San Marcos CA 92069-2973 |
Practice Telephone | 7607366700 |
Practice Fax Number | 7607368740 |
Mailing Telephone | 7607366700 |
Mailing Fax Number | 7607368740 |
Enumeration Date | 2007-06-14 |
Last Update Date | 2015-03-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | A119682 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | IND PTAN | FW987X | 01 |
CA | NHC PTAN | W14158 | 01 |
MYUTMB 3858222726-COMMERCIAL NUMBER | 3858222726 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811519606 | Kelly L Martinez | Nurse Practitioner | 5 Stewart Cir, Centereach, NY 11720-2847 | 2020-05-14 |
1114427309 | Kelly Michelle Martinez | Nurse Practitioner | 2006 Broadway St Ste 101, Pearland, TX 77581-5559 | 2018-02-14 |
1740458439 | Kelly E Martinez | Occupational Therapy Assistant | 6960 Destiny Dr Ste 117, Rocklin, CA 95677-2995 | 2008-02-14 |
1972560274 | Kelly Martinez | Surgery | 2608 Brockton Dr, Austin, TX 78758-4414 | 2006-04-28 |
1558898924 | Kelly Liset Martinez | Social Worker | 2345 Sand Lake Rd Ste 200, Orlando, FL 32809-9140 | 2017-05-17 |
1588057285 | Kelly Martinez | Speech-Language Pathologist | 23734 Valencia Blvd Ste 304, Valencia, CA 91355-5369 | 2015-03-05 |
1346504081 | Kelly A Martinez | Nurse Practitioner | 28 Crescent St, Middletown, CT 06457-3654 | 2012-06-27 |
1871623090 | Kelly Siomara Martinez | Marriage & Family Therapist | 2309 Daly St, Los Angeles, CA 90031-2230 | 2007-03-06 |
Street Address |
150 VALPREDA RD |
City | SAN MARCOS |
State | CA |
Zip Code | 92069-2973 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417954108 | Meredith L Heidenfeld | Physician Assistant | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2005-07-07 |
1477010445 | Cindi Hedrick | Nurse Practitioner | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2019-02-26 |
1376010488 | Allison Fain Moecher | Nurse Practitioner | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2018-10-26 |
1245733450 | Suzanne Marie Simmons | Registered Nurse | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2018-03-14 |
1194224345 | Evelyn L Ciampa | Nurse Practitioner | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2018-02-02 |
1659898641 | Jean Lee Vetter | Social Worker | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2017-08-29 |
1699222620 | Alejandra Cabral | Nurse Practitioner | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2016-09-07 |
1841649761 | Ryan Clapp | Nurse Practitioner | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2016-06-10 |
1790133767 | Kaden Gray Willie | Family Medicine | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2016-05-31 |
1790144756 | Janet Araceli Garcia | Counselor | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2016-02-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396364071 | Doreatha Yvonne Gandy-edmundson | Social Worker | 112 North Centre City Parkway, Unit 103, San Marcos, CA 92069 | 2020-04-13 |
1588150296 | Martha Gallo | Adult Companion | 1227 Armorlite Dr Apt 102, San Marcos, CA 92069 | 2018-07-05 |
1508357765 | Jensen Moore | Chiropractor | 370 Mulberry Dr Ste C, San Marcos, CA 92069 | 2018-05-23 |
1457870156 | Brandie Janette Limon-nava | Counselor | 751 Rancheros Dr Suite 5, San Marcos, CA 92069 | 2017-09-13 |
1336436872 | Vivek Solanki | Dentist | 197 Woodland Pkwy #100, Mission Hills Family Dental, San Marcos, CA 92069 | 2011-07-05 |
1558689448 | Jessie Janette Hiatt | Marriage & Family Therapist | 330 Rancheros Dr Ste 218, San Marcos, CA 92069 | 2010-05-17 |
1407174113 | Daniel Reinke | Counselor | 1560 Capalina Road, San Marcos, CA 92069 | 2010-05-06 |
1902130842 | Tiara Christine Esani | Physician Assistant | 277 Rancheros Drive, Suite 100, San Marcos, CA 92069 | 2009-09-24 |
1124220926 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 997 Woodland Pkwy, San Marcos, CA 92069 | 2007-06-04 |
1275755845 | Davoudi Dds Inc. | Dentist | 979 Woodland Parkway, Suite 100, San Marcos, CA 92069 | 2007-05-03 |
Find all providers in zip 92069 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437277118 | Radmila Kazanegra | Obstetrics & Gynecology | 955 Boardwalk Ste 100, San Marcos, CA 92078-2659 | 2007-03-27 |
1407800881 | Jorge A Calderon | Obstetrics & Gynecology | 671 Kellogg St, San Marcos, CA 92078-7303 | 2006-05-20 |
1639177439 | Arthur Ray Jacobson | Obstetrics & Gynecology | 1305 Wonder World Dr, Suite 209, San Marcos, TX 78666-7546 | 2005-07-14 |
1104265032 | Aminatu Akande | Obstetrics & Gynecology | 1305 Wonder World Dr Ste 300, San Marcos, TX 78666-7541 | 2013-06-25 |
1184989386 | Amber Nicole Jatoft Knight | Obstetrics & Gynecology | 400 Craven Rd, Building 4, 3rd Floor, San Marcos, CA 92078-4201 | 2012-07-13 |
1952691438 | Risa Curtis | Obstetrics & Gynecology | 1305 Wonder World Dr, Suite 300, San Marcos, TX 78666-7546 | 2011-04-18 |
1710298476 | Marisa Linnell Alunni | Obstetrics & Gynecology | 400 Craven Rd, Ob/gyn Office, San Marcos, CA 92078-4201 | 2010-06-28 |
1568783900 | Lauren Annalise Hermann | Obstetrics & Gynecology | 1305 Wonder World Dr, #209, San Marcos, TX 78666-7546 | 2010-06-21 |
1902038284 | Eric Guerrero Adiarte | Obstetrics & Gynecology | 400 Craven Rd, Eric Adiarte C/o Ob/gyn, Building 4, 3rd Floor, San Marcos, CA 92078-4201 | 2009-08-20 |
1134365869 | Barrett Randall Blaue | Obstetrics & Gynecology | 1305 Wonder World Dr Ste 209, San Marcos, TX 78666-7541 | 2008-12-30 |
Find all providers in SAN MARCOS |
City | SAN MARCOS |
Zip Code | 92069 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.