JESSICA MARTIN (NPI# 1770090201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770090201 |
| Entity Type | Individual |
| Full Name | JESSICA MARTIN |
| Credential | PA-C |
| Practice Address |
2840 E Los Angeles Ave Simi Valley CA 93065 |
| Mailing Address |
2840 E Los Angeles Ave Simi Valley CA 93065-3937 |
| Practice Telephone | 8055268360 |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
PA55234 | CA | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898295 | Jessica Marie Martin | Psychologist | 8804 Nw 127th St, Oklahoma City, OK 73142-8623 | 2020-07-21 |
| 1316570781 | Jessica Martin | Physical Therapist | 29811 Santa Margarita Pkwy, Rancho Santa Margarita, CA 92688-3612 | 2020-02-13 |
| 1841836541 | Jessica Nichole Martin | Peer Specialist | 320 S Hill St, Mooreland, OK 73852-9015 | 2019-11-18 |
| 1760045363 | Jessica Martin | Non-emergency Medical Transport (VAN) | 23342 Briarcreek Blvd, Spring, TX 77373-6279 | 2019-04-18 |
| 1457876187 | Jessica Martin | Specialist | 4429 Lake Ave, Lockport, NY 14094-1198 | 2017-08-03 |
| 1164871182 | Jessica Martin | Technician, Other | 28304 Pierce St, Southfield, MI 48076-7312 | 2016-06-09 |
| 1922453968 | Jessica Lacy Martin | Nurse Practitioner | 6140 6th St, Chesapeake Beach, MD 20732-4156 | 2016-04-27 |
| 1164894754 | Jessica E Martin | Counselor | 334 Hermitage Rd, Columbus, OH 43230-2862 | 2015-10-22 |
| 1033505136 | Jessica Leann Martin | Social Worker | 2305 Oid County Road, Pochahontas, AR 72455-4148 | 2015-04-15 |
| 1982007795 | Jessica Lynn Martin | Nurse Practitioner | 403 Ogletree Dr Ste 100, Livingston, TX 77351-9444 | 2014-10-07 |
| Street Address |
2840 E LOS ANGELES AVE |
| City | SIMI VALLEY |
| State | CA |
| Zip Code | 93065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750378188 | Daniel Ghiyam | Family Medicine | 2840 E Los Angeles Ave, Simi Valley, CA 93065-3937 | 2005-09-30 |
| 1114245842 | Daniel Ghiyam M D Inc | Family Medicine | 2840 E Los Angeles Ave, Simi Valley, CA 93065-3937 | 2010-05-05 |
| 1881867166 | Kathy Irvine Weiner | Physical Therapist | 2840 E Los Angeles Ave, Simi Valley, CA 93065-3937 | 2008-04-08 |
| 1285856401 | Advanced Foot and Ankle Institute, A Podiatry Corporation | Podiatrist | 2840 E Los Angeles Ave, Simi Valley, CA 93065-3937 | 2007-05-03 |
| 1629128889 | Advanced Physical Therapy & Rehabilitation, Inc. | Physical Therapist | 2840 E Los Angeles Ave, Simi Valley, CA 93065-3937 | 2007-01-11 |
| 1457414658 | Vahe T Azizian | Obstetrics & Gynecology | 2840 E Los Angeles Ave, Simi Valley, CA 98065 | 2006-12-18 |
| 1508824079 | Sacchin Bhatia | Physical Therapist | 2840 E Los Angeles Ave, Simi Valley, CA 93065-3937 | 2006-05-03 |
| 1942268784 | Gerard Gumboc | Physical Therapist | 2840 E Los Angeles Ave, Simi Valley, CA 93065-3937 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312243 | Healing Hands Health Care Corp | Hospice Care, Community Based | 585 E. Los Angeles Ave, Suite H-b, Simi Valley, CA 93065 | 2020-09-29 |
| 1487261731 | Healing Love Health Care Services, Inc. | Hospice Care, Community Based | 585 E. Los Angeles Ave., Suite H - A, Simi Valley, CA 93065 | 2020-09-29 |
| 1528682499 | Nicole G. Nalbandian | Dentist | First Street Dental Group and Orthodontics, 1197 E Los Angeles Ave Ste E, Simi Valley, CA 93065 | 2020-06-05 |
| 1316597230 | K-clear Nursing Inc | Family Medicine | 1822 Springgate Ln Unit G., Simi Valley, CA 93065 | 2019-09-12 |
| 1780242313 | Valencia Medical Inc | Family Medicine | 1526 Patricia Ave, Unit 159, Simi Valley, CA 93065 | 2019-05-29 |
| 1962920553 | Taylor Pediatrics | Pediatrics | 2755 Alamo Street Ste: 201, Simi Valley, CA 93065 | 2017-09-02 |
| 1487181301 | Renee Brooks | Marriage & Family Therapist | Ventura County Behavioral Health, 1227 E. Los Angeles Ave., Simi Valley, CA 93065 | 2017-05-23 |
| 1225577208 | Amanda Blake | Dietitian, Registered | 2592 Victoria St, Simi Valley, CA 93065 | 2017-02-23 |
| 1245778364 | Tyler James Arauza | Behavior Technician | 2856 Thicket Pl., Simi Valley, CA 93065 | 2017-02-09 |
| 1992169007 | Sahar Yaftaly | Dentist | 2045 Royal Ave Ste 109, Simi Valley, CA 93065 | 2016-04-06 |
| Find all providers in zip 93065 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932628112 | James Luong | Physician Assistant | 3125 Anasazi Way, Simi Valley, CA 93063 | 2017-09-19 |
| 1275905960 | Heather Veitch | Physician Assistant | 1806 Wallace St, Simi Valley, CA 93065 | 2015-10-21 |
| 1992175434 | Nancy Menges | Physician Assistant | 2925 Sycamore Dr Ste 204-205, Simi Valley, CA 93065-1207 | 2015-09-27 |
| 1851693451 | Nazaneen Cauthron | Physician Assistant | 2755 Alamo St Ste 100, Simi Valley, CA 93065-1345 | 2010-12-02 |
| 1124290093 | Aaron Highsmith | Physician Assistant | 2515 Glenhurst Ct, Simi Valley, CA 93063-5319 | 2008-03-31 |
| 1497748149 | Mark B Oechsli | Physician Assistant | 4531 Alamo St, Sierra Vista Family Medical Clinic, Simi Valley, CA 93063 | 2005-08-29 |
| 1336773811 | Maria Daniela Burbano Pimentle | Physician Assistant | 1424 Madera Rd, Simi Valley, CA 93065-3053 | 2020-02-24 |
| 1306493267 | Zade Neil Batarseh | Physician Assistant | 2525 Erringer Rd, Simi Valley, CA 93065-2352 | 2019-08-23 |
| 1790332245 | John Clayton Zimbardo | Physician Assistant | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 | 2019-08-20 |
| 1669027025 | Kelly Erin Olson | Physician Assistant | 2525 Erringer Rd, Simi Valley, CA 93065-2352 | 2019-08-02 |
| Find all providers in SIMI VALLEY | ||||
| City | SIMI VALLEY |
| Zip Code | 93065 |
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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.