MICHELLE PADILLA MARTINEZ (NP) – Nurse Practitioner, NPI 1104310002
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MICHELLE PADILLA MARTINEZ (NP)
12655 BLUFF CREEK DR UNIT 219
PLAYA VISTA, CA 900943073
Phone: (310) 923-0175
Type: Mailing
100 Ucla Medical Plz Ste 310
Los Angeles, CA 900246999
Phone: (310) 267-7838
Type: Location
2121 Santa Monica Blvd
Santa Monica, CA 904042303
Phone: (310) 582-7137
Fax: (310) 582-7140
Type: Location
Providence Saint John's Health Center, 2121, Santa Monica Boulevard, Santa Monica, Los Angeles County, California, 90404, United States
SANTA MONICA, CA 904042303
Phone: (310) 582-7137
Fax: (310) 582-7140
Type: Location
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 900455631
Phone:
Type: Mailing
100 UCLA MEDICAL PLZ STE 310
LOS ANGELES, CA 900246999
Phone: (310) 267-7838
Type: Location
445 S FIGUEROA ST FL 31
LOS ANGELES, CA 900711602
Phone: (888) 731-8994
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $617.
Total Amount is formed as General ($617) + Research ($0) + Ownership ($0) = $617.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($174).
Total Amount
$617
General + Research + Ownership
Payments
9
Total payment records
General Amount
$617
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-03-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190325001850 | I | Nurse Practitioner | CA | TBD |
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.
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 90094)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Emergency Medicine | CA | |
| Internal Medicine | NY | |
| Emergency Medicine | CA | |
| Physician Assistant | TX | |
| - | CA | |
| - | CA | |
| N E U R O S U R G E R Y | CA | |
| - | CA | |
| O T O L A R Y N G O L O G Y | CA |
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