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ADITAIM LOPEZ MARTINEZ N.P.
NPI 1629421102
Nurse Practitioner in Tustin, CA

Active since July 19, 2016PECOS Enrolled
13522 NEWPORT AVE, UNIT 200, TUSTIN, CA 92780(800) 658-5877 Get Directions Write a Review

NPPES record last updated: July 19, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Aditaim Lopez Martinez N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADITAIM LOPEZ MARTINEZ N.P. (NPI 1629421102) is an individual nurse practitioner in Tustin, California, licensed in California (95004455) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1629421102
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameADITAIM LOPEZ MARTINEZCredential: N.P.
Location Address13522 NEWPORT AVE, UNIT 200Tustin, CA 92780-3707
Mailing Address1354 Kilby LnVista, CA 92083-7166 · (760) 845-0363
Phone(800) 658-5877
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 19, 2016
✔ NPI 1629421102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95004455
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
13522 NEWPORT AVE, Tustin, CA 92780
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Other Names 1

Professional Name (2)Aditaim Lopez N.p.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aditaim Lopez Martinez N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941694152
PECOS Enrollment IDI20250129000683
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Aditaim Lopez Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospice Of The North Coast
48 mi
Hospice Care, Community Based
2525 PIO PICO DR, SUITE 301
Carlsbad, CA 92008
  • Reassigned Medicare billing, California enrollment
NPI 1134509821 (760) 431-4100

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 92780 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMPREHENSIVE HEALTH CARE SPECIALISTS MEDICAL GROUP, INC
Non-Pharmacy Dispensing Site
13522 NEWPORT AVE, SUITE 102
TUSTIN, CA 92780
Orange County (714) 352-5800
MOBILE DENTISTRY OF CA INC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
13522 NEWPORT AVE, SUITE 102
TUSTIN, CA 92780
Orange County (949) 529-1095
CAROL JUNG PA-C
Physician Assistant (Medical)
13522 NEWPORT AVE
TUSTIN, CA 92780
Orange County (714) 987-1121
JONATHON TENG
Physical Medicine & Rehabilitation
13522 NEWPORT AVE
TUSTIN, CA 92780
Orange County (714) 987-1121
MARIE GABRIELLE QUINSAY FNP-C
Nurse Practitioner (Family)
13522 NEWPORT AVE
TUSTIN, CA 92780
Orange County (714) 987-1121
CHEST AND CRITICAL CARE CONSULTANTS
Clinic/Center (Sleep Disorder Diagnostic)
13522 NEWPORT AVE, SUITE 102
TUSTIN, CA 92780
Orange County (714) 491-1159
ORANGE COUNTY HOSPICE, LLC
Hospice Care, Community Based
13522 NEWPORT AVE, SUITE 200
TUSTIN, CA 92780
Orange County (714) 838-1542

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 Aditaim Lopez Martinez's NPI number?

The NPI number for Aditaim Lopez Martinez is 1629421102. It was assigned to this individual provider in the NPPES registry on July 19, 2016. The provider is also known as Aditaim Lopez N.P..

Where is Aditaim Lopez Martinez located?

Aditaim Lopez Martinez practices at 13522 Newport Ave Unit 200, Tustin, CA 92780. The listed phone number is (800) 658-5877.

What is Aditaim Lopez Martinez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Aditaim Lopez Martinez enrolled in Medicare?

Yes. Aditaim Lopez Martinez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Aditaim Lopez Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aditaim Lopez Martinez reassigns Medicare benefits to Hospice Of The North Coast (Carlsbad, CA). The 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 Aditaim Lopez 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 Aditaim Lopez Martinez was last updated on July 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.