MARTHA E ENAMORADO – Ambulatory Care Registered Nurse, NPI 1023535515

MARTHA E ENAMORADO is a healthcare provider. based in Sylmar, California. specializing in NURSE PRACTITIONER. They hold a License No. 530739 (CA). The NPI Number for MARTHA E ENAMORADO is 1023535515

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MARTHA E ENAMORADO
NPI
1023535515
Phone
Not provided
Address
14445 OLIVE VIEW DR
Enumeration Date
24 August 2017
Last Update Date
24 August 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8188307080
Graduation Year
2017 (9 years ago)
PAC ID
5890230643
Group Practice PAC ID
3476546227
Professional Enrollment ID
I20240716004251
Address ID
CA913316401AR8902XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

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Provider Addresses for MARTHA E ENAMORADO

  • Olive View–UCLA Medical Center, 14445, Olive View Drive, Los Angeles, Los Angeles County, California, 91342, United States

    SYLMAR, CA 913421437

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2023-05-18 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($122).

Total Amount

$122

General + Research + Ownership

Payments

1

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$122
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240716004251INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91342)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476546227View full group profile
NameSpecialtyState
Physician AssistantCA
Nurse PractitionerCA
Internal MedicineCA
General PracticeCA
Family PracticeCA
Family PracticeCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Can I use this page to confirm MARTHA E ENAMORADO's NPI?
Yes. MARTHA E ENAMORADO is listed with NPI 1023535515 in the public NPI dataset.
Does the file indicate MARTHA E ENAMORADO is practicing under active NPI?
Directory data currently reports MARTHA E ENAMORADO as active.
What taxonomy line describes MARTHA E ENAMORADO?
For research purposes, treat MARTHA E ENAMORADO as Ambulatory Care Registered Nurse in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MARTHA E ENAMORADO?
MARTHA E ENAMORADO's geographic hint is Sylmar, California in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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