KELLEY MARTINEZ (NPI# 1598383044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598383044 |
| Entity Type | Individual |
| Full Name | KELLEY MARTINEZ |
| Practice Address |
1940 Baseline Rd La Verne CA 91750-2148 |
| Practice Telephone | 9093921344 |
| Mailing Telephone | 9093921344 |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427256023 | Kelley Renee Martinez | Counselor | 1188 N Euclid St, #500, Anaheim, CA 92801-1900 | 2007-07-05 |
| 1710921846 | Kelley P. Martinez | Nurse Practitioner | 7788 Jefferson St Ne, Albuquerque, NM 87109-4342 | 2006-06-16 |
| Street Address |
1940 BASELINE RD |
| City | LA VERNE |
| State | CA |
| Zip Code | 91750-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245660398 | Mariza Alarcon | Case Manager/Care Coordinator | 1940 Baseline Rd, La Verne, CA 91750-2148 | 2013-11-26 |
| 1144869207 | Stephanie Elizabeth Huff | Case Manager/Care Coordinator | 1940 Baseline Rd, La Verne, CA 91750-2148 | 2020-01-06 |
| 1053960245 | Nicholette Dawn Johnson | Social Worker | 1940 Baseline Rd, La Verne, CA 91750-2148 | 2019-09-10 |
| 1285186981 | Heritage Group Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1940 Baseline Rd, La Verne, CA 91750-2148 | 2016-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893324 | Alexis Ashley Andom | Occupational Therapist | 2061 Wright Ave., La Verne, CA 91750 | 2020-02-19 |
| 1952810855 | Wendy P Marrufo | Physical Therapist | 2590 Hayes Drive, La Verne, CA 91750 | 2017-09-22 |
| 1770006009 | Lineth Fiorella Florian | Family Medicine | 2333 Foothill Blvd, La Verne, CA 91750 | 2017-07-18 |
| 1205204765 | Heather Amanda Jantz Garcia | Specialist | 2061 Wright Avenue, Suite A-7, La Verne, CA 91750 | 2015-09-14 |
| 1255779864 | Carla Ureno | Counselor | 911 Herbine Street, La Verne, CA 91750 | 2013-06-06 |
| 1538459011 | Sameer K Hassamal | Psychiatry & Neurology | 4201 Hartshorn Ranch Pl, La Verne, CA 91750 | 2011-04-18 |
| 1134351695 | Robin Lorinne Clarkson | Physical Therapist | 2125 Wright Avenue, Ste C1, La Verne, CA 91750 | 2009-08-18 |
| 1477784767 | Sb Home Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 781 Canyon View Dr, Laverne, CA 91750 | 2009-08-04 |
| 1295978872 | Vi Hung Ly | Chiropractor | 1145 Foothill Blvd., La Verne, CA 91750 | 2009-04-13 |
| 1700906138 | Laura Nazaryan | Physical Therapist | 2123 Foothill Blvd Ste D, La Verne, CA 91750 | 2007-03-30 |
| Find all providers in zip 91750 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326403478 | Jeffrey William Schauer | Case Manager/Care Coordinator | 2755 Arrow Hwy, La Verne, CA 91750-5681 | 2015-12-16 |
| 1245660398 | Mariza Alarcon | Case Manager/Care Coordinator | 1940 Baseline Rd, La Verne, CA 91750-2148 | 2013-11-26 |
| 1689907149 | Nathan L. Martel | Case Manager/Care Coordinator | 1117 Gladstone St, La Verne, CA 91750-3302 | 2009-09-15 |
| 1144869207 | Stephanie Elizabeth Huff | Case Manager/Care Coordinator | 1940 Baseline Rd, La Verne, CA 91750-2148 | 2020-01-06 |
| 1780235259 | Danielle Lujan | Case Manager/Care Coordinator | 1350 3rd St, La Verne, CA 91750-5201 | 2019-09-25 |
| 1407407976 | Augrea Elena Garcia-leal | Case Manager/Care Coordinator | 1350 3rd St, La Verne, CA 91750-5201 | 2019-09-25 |
| 1508417528 | Lacresha Shunae Scott | Case Manager/Care Coordinator | 1350 3rd St, La Verne, CA 91750-5299 | 2019-09-20 |
| 1346890506 | Juan Ignacio Gomez | Case Manager/Care Coordinator | 1350 3rd St, La Verne, CA 91750-5299 | 2019-09-18 |
| 1164072328 | Nguyen Tran | Case Manager/Care Coordinator | 1350 3rd St, La Verne, CA 91750-5299 | 2019-09-18 |
| 1609426865 | Estefania Mendoza | Case Manager/Care Coordinator | 1350 3rd St, La Verne, CA 91750-5299 | 2019-09-18 |
| Find all providers in LA VERNE | ||||
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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.