LESLIE MARTINEZ PA-C NPI 1588454656

NPI Information

  • NPI: 1588454656
  • Provider Name: LESLIE MARTINEZ, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1724 W UNION AVE STE 100
    TACOMA, WA
    ZIP 98405
  • Phone: (253) 830-5200

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NPI Details

Leslie Martinez, PA-C is a surgical physician assistant in Tacoma, WA with 2 years of experience. Leslie Martinez, PA-C NPI is 1588454656. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1724 W UNION AVE STE 100
TACOMA, WA
ZIP 98405-099
Phone: (253) 830-5200
Fax: (253) 752-1160

The NPI 1588454656 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/10/2025 and was last updated on 8/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA61627960WASHINGTONNo
2363AS0400XPhysician AssistantSurgicalPA61627960WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12338456MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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