Active NPI
Alexandra Samarah Espitia Martinez, RADT I
- Addiction (Substance Use Disorder) Counselor
- Lemon Grove, CA
National Provider Identifier
1285385294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1477240822
- Practice address
- 7592 Broadway
Lemon Grove, CA 91945-1604 - Phone
- (619) 515-2550
- NPI assigned
- Jan 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1477240822 | CA | Primary |
Addresses
Primary practice location
7592 Broadway
Lemon Grove, CA 91945-1604
Mailing address
1750 5TH Ave
San Diego, CA 92101-2754
Phone (619) 362-9905
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 |
|---|---|---|---|
| R1477240822 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1285385294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 5TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921012754",
"telephone_number": "619-362-9905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7592 BROADWAY",
"city": "LEMON GROVE",
"state": "CA",
"postal_code": "919451604",
"telephone_number": "619-515-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPITIA MARTINEZ",
"first_name": "ALEXANDRA",
"middle_name": "SAMARAH",
"credential": "RADT I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-11",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1477240822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lemon Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.