Individual provider Active NPI

Jeovany Martin

  • Social Worker
  • Tulare, CA
National Provider Identifier
1083310072
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
123006 Issued in CA
Practice address
9637 Avenue 196
Tulare, CA 93274-9529
Phone
(559) 688-0648
NPI assigned
Feb 1, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 123006 CA Primary

Addresses

Primary practice location

9637 Avenue 196
Tulare, CA 93274-9529

Mailing address

9637 Avenue 196
Tulare, CA 93274-9529
Phone (559) 688-0648

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
123006CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Palo Verde Union Elementary School District CurrentSince Sep 14, 2025 Accepting new patients
Tulare County Office of Education PastSince Oct 29, 2023 Accepting new patients

Locations

9637 Avenue 196
Tulare, CA 93274
Phone (559) 688-0648

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.

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1083310072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9637 AVENUE 196",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932749529",
            "telephone_number": "559-688-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9637 AVENUE 196",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932749529",
            "telephone_number": "559-688-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JEOVANY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-01",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "123006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.