Individual provider Active NPI

Melanie Carlos Martin

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1003680323
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT154621 Issued in CA
Practice address
19356 Saylor Ter
Santa Ana, CA 92705-1437
Phone
(714) 543-5437
NPI assigned
Nov 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT154621 CA Primary

Addresses

Primary practice location

19356 Saylor Ter
Santa Ana, CA 92705-1437

Mailing address

2130 E 4TH St
Santa Ana, CA 92705
Phone (714) 543-5437

Other practice location 1

159 N Wheeler St
Orange, CA 92869-3217
Phone (714) 543-5437

Other practice location 2

2130 E 4th St
Santa Ana, CA 92705-3818
Phone (760) 630-4065

Other practice location 3

13442 Malena Dr
Santa Ana, CA 92705-1912
Phone (714) 543-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AMFT154621CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Crest Past Accepting new patients
Olive Crest Past Accepting new patients
Olive Crest PastSince May 11, 2025 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1003680323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 E 4TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-543-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19356 SAYLOR TER",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051437",
            "telephone_number": "714-543-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "159 N Wheeler St",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928693217",
            "country_code": "US",
            "telephone_number": "714-543-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2130 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927053818",
            "country_code": "US",
            "telephone_number": "760-630-4065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13442 Malena Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927051912",
            "country_code": "US",
            "telephone_number": "714-543-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MELANIE",
        "middle_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT154621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.