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: July 26, 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.

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
Sole ProprietorYes
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

Other Names 1

Professional Name (2)Aditaim Lopez N.p.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

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.

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 9

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

Non-Pharmacy Dispensing Site
13522 NEWPORT AVE, SUITE 102
TUSTIN, CA 92780
Durable Medical Equipment & Medical Supplies (Customized Equipment)
13522 NEWPORT AVE, SUITE 102
TUSTIN, CA 92780
Physician Assistant (Medical)
13522 NEWPORT AVE
TUSTIN, CA 92780
Nurse Practitioner (Family)
13522 NEWPORT AVE
TUSTIN, CA 92780
Nurse Practitioner
13522 NEWPORT AVE
TUSTIN, CA 92780
Physical Medicine & Rehabilitation
13522 NEWPORT AVE
TUSTIN, CA 92780
Nurse Practitioner (Family)
13522 NEWPORT AVE
TUSTIN, CA 92780
Clinic/Center (Sleep Disorder Diagnostic)
13522 NEWPORT AVE, SUITE 102
TUSTIN, CA 92780

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.

When was this NPI record last updated?

The NPPES record for Aditaim Lopez Martinez was last updated on July 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.