NPI
Edrea Danette Martinez
NPI 1518264803
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- APC
- Type
- Individual
- Enumeration date
- 2011-02-22
- Last updated
- 2025-08-26
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Specialties
Licenses
- License CA
- 18125
- License UT
- 7600310-6009
Location
- Practice location
- 8360 Fair Pines Ln
- City
- Garden Valley CA
- Postal code
- 95633-9233
- Phone
- (801) 870-8834
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Garden Valley, CA. 38 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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