Diane Marie Martinez

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2213590-II Issued in CA

Practice address

1260 E Arrow Hwy BLDG E
Upland, CA 91786-4984

Phone

(909) 932-1069

NPI assigned

Dec 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Inland Valley Drug and Alcohol Recovery Services

  dba Inland Valley Recovery Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Bernardino, CA
  • NPI 1053180307
  NPD
• Inland Valley Drug and Alcohol Recovery Services

  dba Inland Valley Recovery Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Colton, CA
  • NPI 1740059088
  NPD
• G & C Swan Inc

  dba New Creation

  • Substance Abuse Rehabilitation Facility
  • Colton, CA
  • NPI 1710707310
  NPD (past)
• G & C Swan Inc

  dba New Creation Addiction Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Claremont, CA
  • NPI 1740569235
  NPD (past)
• Veterans Alcohol Rehabilitation Program, Inc.- Varp, Inc.

  dba Gibson House for Women

  • Substance Abuse Rehabilitation Facility
  • San Bernardino, CA
  • NPI 1568821551
  NPD (past)

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1174129845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 E ARROW HWY BLDG E",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864984",
            "telephone_number": "909-932-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 E ARROW HWY BLDG E",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864984",
            "telephone_number": "909-932-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "2213590-II",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "2213590-II",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Martin
• Kendal Martindale, MSW, ASW
• Martinez Dental Corporation (California Smile Dentistry)
• Brenda Martinez Rios
• Alexandria Marie Martinez
• Elise Joelle Martinez, RN
• Jackqueline M Martinez, DDS
• Jennifer Marie Martinez
• Jonathan Fernando Martinez
• Julie Martinez

• Addiction (Substance Use Disorder) Counselor in Upland, CA
• Providers in Upland, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.