Dr Kelly Ann Martinez, MD | |
150 Valpreda Rd, San Marcos, CA 92069-2973 | |
(760) 736-6700 | |
(760) 736-8740 |
Full Name | Dr Kelly Ann Martinez |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 150 Valpreda Rd, San Marcos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063616639 | NPI | - | NPPES |
W14158 | Other | CA | NHC PTAN |
3858222726 | Other | MYUTMB 3858222726-COMMERCIAL NUMBER | |
FW987X | Other | CA | IND PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | A119682 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326141862 PECOS PAC ID: 3577476761 Enrollment ID: O20031209001111 |
Mailing Address | Practice Location Address |
---|---|
Dr Kelly Ann Martinez, MD 150 Valpreda Rd, San Marcos, CA 92069-2973 Ph: (760) 736-6700 | Dr Kelly Ann Martinez, MD 150 Valpreda Rd, San Marcos, CA 92069-2973 Ph: (760) 736-6700 |
Dr. George Yung Kung, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 120 Craven Rd, Ste 209, San Marcos, CA 92078 Phone: 760-761-4088 Fax: 760-761-4090 | |
Susanne Ching Klaudt, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 400 Craven Rd, San Marcos, CA 92078 Phone: 760-510-4329 | |
Dr. Marlene Elizabeth Pountney Levesque, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 150 Valpreda Rd, San Marcos, CA 92069 Phone: 760-736-6700 | |
Dr. Michelle M Cabrera, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 150 Valpreda Rd, San Marcos, CA 92069 Phone: 760-736-6767 | |
Dr. Amber Nicole Jatoft Knight, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 400 Craven Rd, Building 4, 3rd Floor, San Marcos, CA 92078 Phone: 760-510-4329 | |
Jorge A Calderon, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 671 Kellogg St, San Marcos, CA 92078 Phone: 760-798-0503 |