Active NPI
Thamara Martinez
- Behavior Analyst
- Pasadena, CA
National Provider Identifier
1194304949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12478676
- Practice address
- 177 E Colorado Blvd Ste 2082
Pasadena, CA 91105-1986 - Phone
- (844) 669-7827
- NPI assigned
- Apr 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 12478676 | CA | Primary |
Addresses
Primary practice location
177 E Colorado Blvd Ste 2082
Pasadena, CA 91105-1986
Mailing address
177 E Colorado Blvd Ste 2082
Pasadena, CA 91105-1986
Phone (844) 669-7827
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 |
|---|---|---|---|
| 12478676 | CA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star of California | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1194304949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 E COLORADO BLVD STE 2082",
"city": "PASADENA",
"state": "CA",
"postal_code": "911051986",
"telephone_number": "844-669-7827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 E COLORADO BLVD STE 2082",
"city": "PASADENA",
"state": "CA",
"postal_code": "911051986",
"telephone_number": "844-669-7827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "THAMARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-07",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "12478676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.