MARTIN JOSEPH WALTSAK (PA-C) – Physician Assistant, NPI 1669409652
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
10,564 PHYSICIAN ASSISTANT in CA
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Provider Addresses for MARTIN JOSEPH WALTSAK (PA-C)
625 FAIR OAKS AVE STE 270
SOUTH PASADENA, CA 910305801
Phone: (626) 346-5245
Fax: (626) 639-3005
Type: Mailing
Atlantic Avenue, Long Beach, Los Angeles County, California, 90805, United States
LONG BEACH, CA 908065502
Phone: (562) 591-8676
Fax: (877) 469-3631
Type: Location
12942 HARBOR BLVD
GARDEN GROVE, CA 92840
Phone: (714) 705-2120
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2006-11-01
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 |
|---|---|---|---|---|
| I20061101000329 | I | Physician Assistant | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 51 | 46 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 29 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 91030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| - | CA | |
| - | CA | |
| - | WA | |
| - | ME | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA |
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