RANDY MARTINEZ (NPI# 1588124291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588124291 |
| Entity Type | Individual |
| Full Name | RANDY MARTINEZ |
| Practice Address |
10568 Magnolia Ave Ste 102 Anaheim CA 92804-5864 |
| Mailing Address |
2043 San Francisco Ave Long Beach CA 90806-4146 |
| Practice Telephone | 5628894256 |
| Mailing Telephone | 5628894256 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC1900X |
Psychologist Specialization: Counseling |
CA | Behavioral Health & Social Service Providers | |
| N | 103TP0814X |
Psychologist Specialization: Psychoanalysis |
CA | Behavioral Health & Social Service Providers | |
| Y | 103TS0200X |
Psychologist Specialization: School |
CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104906643 | Randy Martinez | Pharmacist | 937 Franklin Blvd, Lemoore, CA 93246-4700 | 2006-10-17 |
| Street Address |
10568 MAGNOLIA AVE STE 102 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92804-5864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699162933 | Sandra Cossio | Behavioral Analyst | 10568 Magnolia Ave Ste 102, Anaheim, CA 92804-5864 | 2015-04-24 |
| 1184222192 | Lilia Orbelina Hurtado | Behavior Technician | 10568 Magnolia Ave Ste 102, Anaheim, CA 92804-5864 | 2020-10-12 |
| 1871110239 | Edith Gonzalez-g | Behavior Technician | 10568 Magnolia Ave Ste 102, Anaheim, CA 92804-5864 | 2020-07-01 |
| 1316564354 | Karina Banda | Behavior Technician | 10568 Magnolia Ave Ste 102, Anaheim, CA 92804-5864 | 2020-06-25 |
| 1609401447 | Oscar Hernandez | Behavior Technician | 10568 Magnolia Ave Ste 102, Anaheim, CA 92804-5864 | 2020-03-11 |
| 1518504190 | Mark Cervantes | Behavior Technician | 10568 Magnolia Ave Ste 102, Anaheim, CA 92804-5864 | 2019-12-03 |
| 1376186007 | Marisela Ochoa | Behavior Technician | 10568 Magnolia Ave Ste 102, Anaheim, CA 92804-5864 | 2019-10-25 |
| 1851932834 | Maria Guadalupe Mendoza Reyes | Behavior Technician | 10568 Magnolia Ave Ste 102, Anaheim, CA 92804-5864 | 2019-10-01 |
| 1790243517 | Jessica A Benitez | Behavior Technician | 10568 Magnolia Ave Ste 102, Anaheim, CA 92804-5864 | 2019-03-11 |
| 1508324815 | Laura Anissia Nastase | Behavior Technician | 10568 Magnolia Ave Ste 102, Anaheim, CA 92804-5864 | 2019-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1154971646 | Leita Pawline Lawrene | Technician | 900 S Beach Blvd # 132, Anaheim, CA 92804 | 2019-09-17 |
| 1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
| 1225501224 | Brandon Pourazima | Physician Assistant | 631 S Brookhurst St Ste 213b, Anaheim, CA 92804 | 2019-01-02 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1346762150 | Inhee Shinn | Acupuncturist | 1717 W. Ball Road., Anaheim, CA 92804 | 2017-07-13 |
| 1689122459 | Jayanthi Ravikumar Md Inc | Physical Medicine & Rehabilitation | 3356 W Ball Road, #216, Anaheim, CA 92804 | 2016-09-21 |
| 1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
| 1598101602 | Optimal Sleep Center | Clinical Medical Laboratory | 3340 West Ball Road Suite B, Anaheim, CA 92804 | 2013-05-15 |
| 1376885673 | Michelle Lananh Dang | Pharmacist | 1913 W. Elm Pl, Anaheim, CA 92804 | 2013-03-25 |
| Find all providers in zip 92804 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063980720 | Al Pappalardo | Psychologist | 8183 E Woodsboro Ave, Anaheim, CA 92807-2522 | 2018-11-10 |
| 1407340615 | Hemali Long | Psychologist | 5500 E Santa Ana Canyon Rd Ste 261, Anaheim, CA 92807-3121 | 2018-06-20 |
| 1265946560 | Alfredo Alberto Arenales | Psychologist | 723 S Oakwilde Dr, Anaheim, CA 92804-3251 | 2017-11-22 |
| 1235744491 | Karrie Folsom | Psychologist | 229 S Dale Ave, Anaheim, CA 92804-2006 | 2020-09-14 |
| 1871076430 | Holly Shubin | Psychologist | 1001 S East St, Anaheim, CA 92805-5749 | 2018-09-10 |
| 1073096970 | Jessica Ocoboc Houston | Psychologist | 1001 S East St, Anaheim, CA 92805-5749 | 2018-09-07 |
| 1124504170 | Hipolito Murillo | Psychologist | 1330 S Knott Ave, Anaheim, CA 92804-4798 | 2018-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800610 | Christine Irene Wyeth I | Psychologist | 420 Orrell Dr, National City, CA 91950-7019 | 2020-10-30 |
| 1396351755 | Darinisha Williams | Psychologist | 228 W Pomona Ave Unit 453, Monrovia, CA 91016-4853 | 2020-09-21 |
| 1861006280 | Waneka Cabrera | Psychologist | 6140 Monterey Rd Apt 419, Los Angeles, CA 90042-5410 | 2020-09-02 |
| 1447862669 | Lynn Syrvart Saroyan | Psychologist | 302 W 5th St Ste 301, San Pedro, CA 90731-2750 | 2020-08-19 |
| 1386256741 | Earaj Afzal | Psychologist | 4175 Williwaw Dr, Irvine, CA 92620-3279 | 2020-08-18 |
| 1518578145 | Christina Marie Keefe | Psychologist | 222 Terrace Dr, Big Pine, CA 93513-2002 | 2020-08-17 |
| 1992317572 | Ferris Kevin Bruton | Psychologist | 850 Rosewood Ave, Vallejo, CA 94591-5647 | 2020-08-17 |
| 1376153460 | Louis Scott Addleson | Psychologist | 7915 Alida St, La Mesa, CA 91942-2541 | 2020-08-04 |
| 1326658592 | Aamna Hassan | Psychologist | 15132 Amso St, Poway, CA 92064-2604 | 2020-08-03 |
| 1922616218 | Janis Kingsley | Psychologist | 2746 Granville Ave, Los Angeles, CA 90064-3604 | 2020-07-22 |
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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.