Diana Martinez, is a medicare enrolled "Nurse Practitioner - Family" in Oak Hills, California. 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 does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 - Family |
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Location | 13312 Ranchero Rd, Oak Hills, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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 |
1356807143 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 95010292 (California) | Primary |
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 | 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 |
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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