Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Martin Joseph Waltsak, PA-C

Individual provider Family Medicine Physician · NPI 1669409652

Martin Joseph Waltsak, PA-C is a Physician Assistant in Garden Grove, California. Qualified in 1998, 28 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
28
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

12942 Harbor Blvd
Garden Grove, CA 92840
Phone: (714) 705-2120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA14773 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence PA14773 (CA)

Record details

NPI number1669409652
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESMarch 22, 2023
Certification dateMarch 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Garden Grove