Active NPI
Martha Maria Naranjo Jr.
- Counselor
- San Jose, CA
National Provider Identifier
1033405857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1340 Tully Rd
Suite 304
San Jose, CA 95122-3055 - Phone
- (408) 271-3900
- Fax
- (408) 380-7397
- NPI assigned
- Jun 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1340 Tully Rd
Suite 304
San Jose, CA 95122-3055
Mailing address
1735 Mission St
Suite 304
San Francisco, CA 94103-2417
Other practice location 1
1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone (707) 559-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231027000622 | CA | Order and Referring Only - Clinical Social Worker | 2163878166 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101636 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Petaluma Health Center Inc | Past | Accepting new patients | |
| Healthright 360 | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- South San Francisco, CA
- NPI 1265563688
-
- Federally Qualified Health Center (FQHC)
- Rohnert Park, CA
- NPI 1669870739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1033405857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 MISSION ST",
"address_2": "SUITE 304",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 TULLY RD",
"address_2": "SUITE 304",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951223055",
"telephone_number": "408-271-3900",
"fax_number": "408-380-7397"
}
],
"practiceLocations": [
{
"address_1": "1179 N McDowell Blvd",
"address_purpose": "LOCATION",
"city": "Petaluma",
"state": "CA",
"postal_code": "949546559",
"country_code": "US",
"telephone_number": "707-559-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NARANJO",
"first_name": "MARTHA",
"middle_name": "MARIA",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.