Individual provider · Type 1 NPI

Tayler Nichol Martinez, PA-C

Surgical Physician Assistant · Los Gatos, CA

NPI number 1053196188 Active

Practice location

340 Dardanelli Ln Ste 10
Los Gatos, CA 95032-1418

Fax (408) 418-8499

Mailing address

PO Box 31396
Walnut Creek, CA 94598-8396

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA61491018 (WA)
Surgical Physician Assistant Primary 363AS0400X65300 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1053196188

Tayler Nichol Martinez, PA-C's National Provider Identifier is 1053196188, issued on Aug 28, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Los Gatos, CA. The record was last updated on Feb 3, 2025.