Individual provider · Type 1 NPI

Brandy Martinez, PA-C, CAQ-PSYCH

Medical Physician Assistant · Costa Mesa, CA

NPI number 1235875527 Active

Practice location

3151 Airway Ave Ste G1
Costa Mesa, CA 92626-4624

Fax (714) 708-2588

Mailing address

19782 Macarthur Blvd Ste 300
Irvine, CA 92612-2417

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA62086 (CA)
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808XPA62086 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1235875527

Brandy Martinez, PA-C, CAQ-PSYCH's National Provider Identifier is 1235875527, issued on May 9, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Costa Mesa, CA. The record was last updated on Sep 30, 2025.