Individual provider Active NPI

Darian Axl Martinez

  • Clinical Social Worker
  • Santa Ana, CA
National Provider Identifier
1053966952
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW97241 Issued in CA
Practice address
1940 E Deere Ave Ste 100
Santa Ana, CA 92705-5718
Phone
(714) 543-4333
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW97241 CA Primary

Addresses

Primary practice location

1940 E Deere Ave Ste 100
Santa Ana, CA 92705-5718

Mailing address

1940 E Deere Ave Ste 100
Santa Ana, CA 92705-5718
Phone (714) 543-4333

Other practice location 1

1940 E Deere Ave Ste 100
Santa Ana, CA 92705-5718
Phone (714) 543-4333

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
ASW97241CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1053966952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 E DEERE AVE STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055718",
            "telephone_number": "714-543-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 E DEERE AVE STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055718",
            "telephone_number": "714-543-4333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 E Deere Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927055718",
            "country_code": "US",
            "telephone_number": "714-543-4333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "DARIAN",
        "middle_name": "AXL",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW97241",
            "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 Oct 23, 2020; 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.