Monique Idalis Martinez

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

7257 Issued in CA

Practice address

222 N Mountain Ave Ste 109a
Upland, CA 91786-5715

Phone

(909) 345-1969

NPI assigned

Jan 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Grace Speech Therapy Corp

  • Behavior Analyst
  • Lake Forest, CA
  • NPI 1942833660

  Speech-Language Assistant

  NPD (past)

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1265295695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 W ARROW HWY APT C",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N MOUNTAIN AVE STE 109A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865715",
            "telephone_number": "909-345-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MONIQUE",
        "middle_name": "IDALIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "7257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackqueline M Martinez, DDS
• Jennifer Marie Martinez
• Jonathan Fernando Martinez
• Julie Martinez
• Lani Sugita Martinez, DPT
• Raymond Martinez III
• Deryk Mason II, LVN
• Kristina Starr Matlock
• Caitlin Matsumoto, PA-C
• Elsa Matsumoto, LCSW

• Speech-Language Assistant in Upland, CA
• Providers in Upland, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.