Diana Martinez, is a medicare enrolled "Nurse Practitioner - Family" in Oak Hills, California. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is
13312 Ranchero Rd, Oak Hills, California. You can reach out to her office (for appointments etc.) via phone at
(760) 981-0132.
Diana Martinez is licensed to practice in California (license number 95010292) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356807143.
Provider's Profile
| Full Name | Diana Martinez |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 13312 Ranchero Rd, Oak Hills, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Diana Martinez graduated from nursing school in 2018
NPI Data:
- NPI Number: 1356807143
- Provider Enumeration Date: 02/16/2019
- Last Update Date: 10/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901291004
- Enrollment ID: I20220325002234
Medical Identifiers
Medical identifiers for Diana Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356807143 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 95010292 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern California Permanente Medical Group | 6002729175 | 9038 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Diana Martinez allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823 |
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| Entity Name | Peter Stoops Do Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851867758
PECOS PAC ID: 7315370004
Enrollment ID: O20191211001067 |
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| Entity Name | Michael Aaron Lalezarian Md Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891314290
PECOS PAC ID: 9830510791
Enrollment ID: O20200601001535 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diana Martinez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Diana Martinez,
13312 Ranchero Rd,
Oak Hills, CA 92344-4812
Ph: (760) 981-0132 | Diana Martinez,
13312 Ranchero Rd,
Oak Hills, CA 92344-4812
Ph: (760) 981-0132 |
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