Carolina Dejesus Martinez

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

84 Broadway
Richmond, CA 94804-1910

Phone

(510) 231-7812

Fax

(510) 231-7810

NPI assigned

Sep 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Contra Costa Youth Service Bureau

  • Community/Behavioral Health Agency
  • Richmond, CA
  • NPI 1619558228
  NPD
• Contra Costa Youth Service Bureau

  • Community/Behavioral Health Agency
  • Richmond, CA
  • NPI 1487718409
  NPD (past)
• Contra Costa Youth Service Bureau

  • Community/Behavioral Health Agency
  • Antioch, CA
  • NPI 1619136132
  NPD (past)

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1245845429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 BROADWAY",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041910",
            "telephone_number": "510-231-7812",
            "fax_number": "510-231-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 BROADWAY",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041910",
            "telephone_number": "510-231-7812",
            "fax_number": "510-231-7810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945091109",
            "country_code": "US",
            "telephone_number": "925-246-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CAROLINA",
        "middle_name": "DEJESUS",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danna Marks
• Mark Marolt
• Wendy E Maron, MA
• Thomas Marottolo
• Mercedes Marquez
• Estefani Martinez
• Jose Samuel Martinez
• Miriam Martinez
• Myra Aranda Martinez, PHARMD
• Patricia Martinez, MD

• Rehabilitation Practitioner in Richmond, CA
• Providers in Richmond, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.

Verify at the official NPI Registry.