BEA MARTIN (NPI# 1710355664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710355664 |
| Entity Type | Individual |
| Full Name | BEA MARTIN |
| Credential | PA-C |
| Practice Address |
25405 Hancock Ave Suite 216 Murrieta CA 92562-5982 |
| Practice Telephone | 9516984600 |
| Practice Fax Number | 9515142542 |
| Mailing Telephone | 9516984600 |
| Mailing Fax Number | 9515142542 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
52239 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
25405 HANCOCK AVE SUITE 216 |
| City | MURRIETA |
| State | CA |
| Zip Code | 92562-5982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073596912 | Herman David Lu | Internal Medicine | 25405 Hancock Ave, Suite 216, Murrieta, CA 92562-5982 | 2005-11-23 |
| 1962015206 | Vijay Shelat | Pharmacy | 25405 Hancock Ave, Suite #100, Murrieta, CA 92562 | 2020-08-26 |
| 1366050940 | Nadia Steele | Nurse Practitioner | 25405 Hancock Ave, Murrieta, CA 92562-5982 | 2020-07-20 |
| 1700312410 | Kara Ester Flores San Joaquin | Nurse Practitioner | 25405 Hancock Ave, Suite 216, Murrieta, CA 92562-5982 | 2017-05-02 |
| 1235675893 | University Surgery Center | Clinic/Center | 25405 Hancock Ave, Suite 110, Murrieta, CA 92562-5982 | 2017-01-06 |
| 1235557950 | Athletic Institute and Rehabilitation | Specialist | 25405 Hancock Ave, Murrieta, CA 92562-5982 | 2014-03-31 |
| 1013353473 | Michael Christensen | Anesthesiology | 25405 Hancock Ave, Murrieta, CA 92562-5982 | 2013-05-13 |
| 1265717953 | Robert Mcgraw Apc | Anesthesiology | 25405 Hancock Ave, Suite 103, Murrieta, CA 92562-5982 | 2011-10-13 |
| 1326337718 | Rcm Surgery Center, LLC | Clinic/Center | 25405 Hancock Ave, Ste 110, Murrieta, CA 92562-5982 | 2011-04-06 |
| 1902105398 | Maria Teresa Rojas-cooley | Nurse Practitioner | 25405 Hancock Ave, Ste 216, Murrieta, CA 92562-5982 | 2011-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709591 | Brittney Schmidt | Behavior Technician | 25109 Hancock Avenue Suite C, Murrieta, CA 92562 | 2020-08-06 |
| 1518431410 | Heather Marie Halper | Behavioral Analyst | 25190 Handcock Ave, Suite C, Murrieta, CA 92562 | 2019-01-14 |
| 1164992798 | Tiffany L Lockhart | Counselor | 41780 Mcalby Ct, Murrieta, CA 92562 | 2018-11-27 |
| 1164992756 | Jessica Gutierrez | Specialist/Technologist | 25102 Jefferson Ave Suite D, Murrieta, CA 92562 | 2018-11-27 |
| 1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
| 1023500279 | Brittany Marie Ramirez | Counselor | 23824 Matador Way, Murrieta, CA 92562 | 2018-06-04 |
| 1053800573 | Emily Kathryn Perrott | Physical Therapist | 24630 Washington Ave Ste 200, Murrieta, CA 92562 | 2018-05-10 |
| 1285151464 | Dexter Villanueva | Physical Therapist | 40845 Engelmann Oak St., Murrieta, CA 92562 | 2017-08-28 |
| 1407371024 | Elyaszadeh Levi Dental Corporation | Dentist | 40643 California Oaks Rd, Murrieta, CA 92562 | 2017-08-04 |
| 1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
| Find all providers in zip 92562 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134692692 | Monique Miranda Hernandez | Physician Assistant | 25405 Hancock Ave Ste 108, Murrieta, CA 92562-5983 | 2019-01-08 |
| 1619149929 | Gordon Iwasaki | Physician Assistant | 40960 California Oaks Rd, #225, Murrieta, CA 92562-5747 | 2008-03-26 |
| 1033301528 | Juan R Kojima | Physician Assistant | 40663 Murrieta Hot Springs Road Suite C3, Murrieta, CA 92562 | 2007-08-17 |
| 1760526263 | Steve E. Gruer | Physician Assistant | 24671 Monroe Ave, # 102, Murrieta, CA 92562-2527 | 2007-02-16 |
| 1477196897 | Natalie Waters | Physician Assistant | 41880 Kalmia St Ste 100, Murrieta, CA 92562-8835 | 2019-10-18 |
| 1114493053 | Alexandra Margarita Rodriguez | Physician Assistant | 25115 Madison Ave, Murrieta, CA 92562-8967 | 2018-10-18 |
| 1720485477 | Raechel Mora | Physician Assistant | 38860 Sky Canyon Dr Bldg A, Murrieta, CA 92563-2518 | 2014-11-24 |
| 1093051385 | Dana L Hale | Physician Assistant | 29995 Technology Dr Ste 201, Murrieta, CA 92563-2633 | 2012-12-14 |
| 1558639476 | Shiloh Serene Wecklich | Physician Assistant | 25470 Medical Center Dr, Suite 102, Murrieta, CA 92562-4900 | 2011-12-06 |
| 1265698062 | Priscilla Delaiine Schaffer | Physician Assistant | 25470 Medical Center Drive, Suite 201, Murrieta, CA 92562-4900 | 2008-07-31 |
| Find all providers in MURRIETA | ||||
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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.