MR. MARTIN MANUEL MARTINEZ (NPI# 1083804082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083804082 |
| Entity Type | Individual |
| Full Name | MR. MARTIN MANUEL MARTINEZ |
| Practice Address |
1319 Fruitvale Ave Oakland CA 94601-2927 |
| Practice Telephone | 5105352303 |
| Practice Fax Number | 5105352346 |
| Mailing Telephone | 5105352303 |
| Mailing Fax Number | 5105352346 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
61023 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861954125 | Martin Martinez Jr. | Case Manager/Care Coordinator | 2116 Arlington Ave, Los Angeles, CA 90018-1353 | 2019-04-04 |
| 1083179949 | Martin Martinez | Behavior Technician | 505 E Commonwealth Ave, Fullerton, CA 92832-4009 | 2019-02-05 |
| 1962983056 | Martin Tyler Martinez | Physical Therapy Assistant | 208 N Prairie St, Pilot Point, TX 76258-4057 | 2018-08-27 |
| 1760961486 | Martin Martinez | Physician Assistant | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2018-08-13 |
| 1053420885 | Martin Anthony Martinez | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2006-08-29 |
| Street Address |
1319 FRUITVALE AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94601-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235753898 | Dina Valdelomardina | Counselor | 1319 Fruitvale Ave, Oakland, CA 94601-2927 | 2020-05-29 |
| 1780849505 | Luis Libran | Counselor | 1319 Fruitvale Ave, Oakland, CA 94601-2927 | 2008-07-21 |
| 1801086855 | Julio Antonio Gomez | Counselor | 1319 Fruitvale Ave, Oakland, CA 94601-2927 | 2007-07-26 |
| 1780874743 | Marco Gomez | Counselor | 1319 Fruitvale Ave, Oakland, CA 94601-2927 | 2007-07-26 |
| 1558551549 | Chris Grajeda | Counselor | 1319 Fruitvale Ave, Oakland, CA 94601-2927 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1730704289 | Francheska Baloy | Student in an Organized Health Care Education/Training Program | 13585 San Pablo, San Pablo, CA 94601 | 2020-06-10 |
| 1104476597 | Jonathan Ramos Santiago | Social Worker | 13585 San Pablo, 1st Floor, San Pablo, CA 94601 | 2019-09-17 |
| 1205329802 | Stefany Menjivar | Student in an Organized Health Care Education/Training Program | 3908 International Blvd, Oakland, CA 94601 | 2018-06-08 |
| 1710408430 | Martha Alicia Rea | Physician Assistant | 3301 E. 12th St, Suite 113, Oakland, CA 94601 | 2017-07-03 |
| 1922528744 | Jamie Erin Briskin | Social Worker | 3001 International Blvd., Oakland, CA 94601 | 2017-06-22 |
| 1194254706 | Emily Lohmeyer | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Avenue, Oakland, CA 94601 | 2017-06-07 |
| 1124551494 | Emily Chana Wolfe-roubatis | Midwife | 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 | 2017-04-04 |
| 1417327776 | Ninfa M. Gutierrez | Counselor | 3124 International Blvd., Oakland, CA 94601 | 2015-09-30 |
| 1942600424 | Reliable Care Express, Inc. | Non-emergency Medical Transport (VAN) | 828 27th Ave, Oakland, CA 94601 | 2014-09-03 |
| Find all providers in zip 94601 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330332 | Sara M Haile | Counselor | 339 Lester Ave Apt B, Oakland, CA 94606-1335 | 2020-09-14 |
| 1891327490 | Steven E Blackman | Counselor | 5701 Walnut St, Oakland, CA 94605-1050 | 2020-02-11 |
| 1437796851 | Allen Temple Health & Social Services Ministry | Counselor | 8501 International Blvd., C-105, Oakland, CA 94621-1549 | 2019-12-04 |
| 1225670763 | Greg Joseph Cesena | Counselor | 2321 International Blvd, Oakland, CA 94601-1018 | 2019-10-16 |
| 1588219877 | Ramon Deandre Hall | Counselor | 8425 Macarthur Blvd, Oakland, CA 94605-3553 | 2019-08-05 |
| 1497300925 | Sandra Campbell | Counselor | 7511 Hillside St, Oakland, CA 94605-2821 | 2019-08-01 |
| 1992357057 | Christina Joi Jefferson | Counselor | 2815 West St, Oakland, CA 94608-4535 | 2019-07-09 |
| 1518525674 | Ma Concepsion Rivera Gonzalez | Counselor | 1411 E 31st St Dept Oa1, Oakland, CA 94602-1018 | 2019-06-04 |
| 1952873184 | Brenna Mchugh | Counselor | 5250 Redondo Ave, Oakland, CA 94618-1047 | 2018-12-28 |
| 1619447455 | Elizabeth Niarhos | Counselor | 10850 Macarthur Blvd., Oakland, CA 94605 | 2018-12-04 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.