Catarina Funcannon

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-RMONXD Issued in CA

Practice address

10 Douglas Dr Ste 140
Martinez, CA 94553-4078

Phone

(925) 839-3447

NPI assigned

Feb 28, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1093414047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DOUGLAS DR STE 140",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534078",
            "telephone_number": "925-839-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DOUGLAS DR STE 140",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534078",
            "telephone_number": "925-839-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNCANNON",
        "first_name": "CATARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-RMONXD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Frost, RN, NP
• Annie Marta Fuentes
• Sherri Fuentes
• Raeanne Fuller, PHARMD
• Joyce Fults
• Marcia Furtado
• Aaron Eliot Gach-Kvenild, MD
• Elizabeth Gaines
• Nayeli Sarahi Galarza, BS, MA
• Carolyn Sue Galitzen

• Peer Specialist in Martinez, CA
• Providers in Martinez, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.