JANNETTE MARTINEZ (NPI# 1972162642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972162642 |
| Entity Type | Individual |
| Full Name | JANNETTE MARTINEZ |
| Practice Address |
503 Ocean Front Walk Venice CA 90291-2403 |
| Mailing Address |
505 E 66th St Los Angeles CA 90003-1931 |
| Practice Telephone | 3103923070 |
| Practice Fax Number | 3104528766 |
| Mailing Telephone | 3233463779 |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R1281471017 | CA | Behavioral Health & Social Service Providers |
| Street Address |
503 OCEAN FRONT WALK |
| City | VENICE |
| State | CA |
| Zip Code | 90291-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497809735 | Phoenix Houses of Los Angeles, Inc. | Substance Abuse Rehabilitation Facility | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2007-01-23 |
| 1689273518 | Lauren Mazahery | Social Worker | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2020-10-21 |
| 1366066961 | Juan Francisco Hernandez | Social Worker | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2020-05-31 |
| 1164045886 | Vincent Giovanni Cruz | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2020-05-28 |
| 1598388563 | Rolando Soria Bonita | Licensed Vocational Nurse | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2020-05-25 |
| 1699397125 | Gerardo Rojas | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2020-05-06 |
| 1982225512 | Cheronna Shaunte' Moron | Licensed Vocational Nurse | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2020-05-05 |
| 1750926408 | Michel Ferguson | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2019-11-15 |
| 1881239739 | Barron Lesean Carter | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2019-11-14 |
| 1457992000 | Laura Sofia Hernandez | Case Manager/Care Coordinator | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2019-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629837 | Dylan Booth | Dentist | 601 Vernon Ave, Venice, CA 90291 | 2017-10-05 |
| 1467979500 | Linda Sittler | Registered Nurse | 1025 Palms Ave, Venice, CA 90291 | 2017-08-29 |
| 1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
| 1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
| 1821364761 | Cheryl Lynn Perkins | Nutritionist | 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 | 2012-03-26 |
| 1629391875 | James L. Hoff | Optometrist | 1636 Abbot Kinney Blvd., Venice, CA 90291 | 2010-03-02 |
| 1720315096 | Kristen Nicol Leishman | Counselor | 911 Coeur D'alene Ave, Venice, CA 90291 | 2009-11-06 |
| 1922237882 | David Anthony Garcia | Physician Assistant | 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 | 2009-07-13 |
| 1548411010 | David Watts | Acupuncturist | 307 S. Robertson Blvd, Beverly Hills, CA 90291 | 2008-10-02 |
| 1184891699 | Judy Alexander | Voluntary or Charitable | 204 Hampton Drive, St Joseph Center, Venice, CA 90291 | 2008-05-14 |
| Find all providers in zip 90291 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
| 1073758926 | Charles Jeffrey Sandoz | Counselor | 530 Us Highway 41 Byp S, Suite 4a, Venice, FL 34285-4750 | 2008-12-06 |
| 1801865977 | Tara Elizabeth Jacobson | Counselor | 2210 S Tamiami Trail, #10, Venice, FL 34293 | 2006-03-14 |
| 1194323659 | Antonio De Jesus Sanchez | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2020-10-15 |
| 1164045886 | Vincent Giovanni Cruz | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2020-05-28 |
| 1699397125 | Gerardo Rojas | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2020-05-06 |
| 1750926408 | Michel Ferguson | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2019-11-15 |
| 1881239739 | Barron Lesean Carter | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2019-11-14 |
| 1457901589 | Daniel John Bouchard | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2019-09-20 |
| 1093360331 | Sandra Diane Kellar | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2019-08-05 |
| Find all providers in VENICE | ||||
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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.