Omar Martinez

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

202 N 8TH St
El Centro, CA 92243-2302

Phone

(442) 265-1525

NPI assigned

Mar 14, 2016

Reactivated

May 2, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Medical Treatment Center

  • Methadone Clinic
  • El Centro, CA
  • NPI 1649473695
  NPD (past)

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1073974382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N 8TH ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432302",
            "telephone_number": "442-265-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N 8TH ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432302",
            "telephone_number": "442-265-1525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S 5th St",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922433013",
            "country_code": "US",
            "telephone_number": "760-482-0864",
            "fax_number": "760-482-9185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "OMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-14",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "deactivation_date": "2023-04-13",
        "reactivation_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra Martinez
• Melissa Martinez, BA
• Monica Martinez
• Monica Martinez, RBT
• Nora Alicia Martinez, LMFT
• Raul Martinez
• Ricardo Martinez
• Robert M Martinez, P.T.A.
• Tania Isela Martinez, VN
• Veronica Martinez

• Case Manager/Care Coordinator in El Centro, CA
• Providers in El Centro, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.