IVAN MARTINEZ
NPI 1467212357
Nurse Practitioner - Family in Van Nuys, CA
About Ivan Martinez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVAN MARTINEZ (NPI 1467212357) is an individual family provider in Van Nuys, California, licensed in California (NP95028518) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ivan Martinez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Ivan Martinez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Van Nuys, CA 91411
- Reassigned Medicare billing, California enrollment
- 49 clinicians in this Medicare group
Panorama City, CA 91402
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91411 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VAN NUYS, CA 91411
VAN NUYS, CA 91411
VAN NUYS, CA 91411
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ivan Martinez's NPI number?
The NPI number for Ivan Martinez is 1467212357. It was assigned to this individual provider in the NPPES registry on March 19, 2024.
Where is Ivan Martinez located?
Ivan Martinez practices at 14550 Haynes St, Van Nuys, CA 91411. The listed phone number is (818) 650-6700.
What is Ivan Martinez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ivan Martinez enrolled in Medicare?
Yes. Ivan Martinez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ivan Martinez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ivan Martinez reassigns Medicare benefits to 2 organizations: Southern California Medical Center, Inc. (Van Nuys, CA) and Southern California Permanente Medical Group (Panorama City, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ivan Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ivan Martinez was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ivan Martinez · NPI 1467212357
Family physician in Van Nuys, California. Individual provider, active in the CMS NPPES registry since March 19, 2024.
## Identity
- **NPI:** 1467212357 (Entity type: Individual)
- **Enumerated:** March 19, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP95028518 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 14550 HAYNES ST, Van Nuys, CA 91411-1613
- **Phone:** (818) 650-6700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern California Medical Center, Inc. (NPI 1255729661, Van Nuys, CA); Southern California Permanente Medical Group (NPI 1407888928, Panorama City, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1467212357) · Data from the CMS NPPES public registry.