Individual provider Active NPI

Catalina Martinez Mann, ADC

  • Case Manager/Care Coordinator
  • Fontana, CA
National Provider Identifier
1174771307
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
2464060 Issued in CA
Practice address
7993 Sierra Ave
Suite K
Fontana, CA 92336-3330
Phone
(909) 822-8720
Fax
(909) 822-8438
NPI assigned
Aug 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 2464060 CA Primary

Addresses

Primary practice location

7993 Sierra Ave
Suite K
Fontana, CA 92336-3330

Mailing address

7993 Sierra Avenue Suite K
Fontana, CA 92376-2850
Phone (909) 822-8720

Other identifiers 1

IdentifierTypeStateIssuer
4757OtherCATEMPORARY PIN

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
2464060CAMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1174771307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7993 SIERRA AVENUE SUITE K",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923762850",
            "telephone_number": "909-822-8720",
            "fax_number": "909-822-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7993 SIERRA AVE",
            "address_2": "SUITE K",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363330",
            "telephone_number": "909-822-8720",
            "fax_number": "909-822-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "CATALINA",
        "middle_name": "MARTINEZ",
        "name_prefix": "Mrs.",
        "credential": "ADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "2464060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMPORARY PIN",
            "identifier": "4757",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.