MEDICARE: CHELSEA MARTINEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WG0100X	Gastroenterology Registered Nurse	954566	CA

General Provider Information

NPI Number	:	1841158425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA MARTINEZ

Provider Business Mailing Address
First Line	:	400 FAIRMOUNT AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-5535
Country	:	US
Telephone Number	:	224-392-9117
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 FAIRMOUNT AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-5535
Country	:	US
Telephone Number	:	224-392-9117
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “ CHELSEA MARTINEZ ” Practice Location

Language	Start Address	Practice Location

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