Active NPI
Tricia Martinelli
- Occupational Therapy Assistant
- San Diego, CA
National Provider Identifier
1134637770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA1649
- Practice address
- 4100 Normal St
San Diego, CA 92103-2653 - Phone
- (619) 725-5501
- NPI assigned
- Jan 17, 2018
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA1649 | CA | Primary |
Addresses
Primary practice location
4100 Normal St
San Diego, CA 92103-2653
Mailing address
9466 Black Mountain Rd
San Diego, CA 92126-4550
Phone (858) 689-2027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTA1649 | Other | CA | OTA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA1649 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1134637770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9466 BLACK MOUNTAIN RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264550",
"telephone_number": "858-689-2027",
"fax_number": "858-397-2172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 NORMAL ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032653",
"telephone_number": "619-725-5501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINELLI",
"first_name": "TRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-17",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "OTA1649",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTA",
"identifier": "OTA1649",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.