Active NPI
Michael Adan Adam Martinez
- Child Intellectual and/or Developmental Disabilities Respite Care
- Riverside, CA
National Provider Identifier
1306791389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- License
- D8646741
- Practice address
- 3021 Franklin Ave
Riverside, CA 92507-3337 - Phone
- (951) 955-9400
- Fax
- (951) 679-1234
- NPI assigned
- Mar 3, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | D8646741 | CA | Primary |
Addresses
Primary practice location
3021 Franklin Ave
Riverside, CA 92507-3337
Mailing address
3960 Orange St Ste 500
Riverside, CA 92501-3644
Phone (951) 955-9400
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 |
|---|---|---|---|
| D8646741 | CA | MD | Child Intellectual and/or Developmental Disabilities Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1306791389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3960 ORANGE ST STE 500",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013644",
"telephone_number": "951-955-9400",
"fax_number": "951-679-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3021 FRANKLIN AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925073337",
"telephone_number": "951-955-9400",
"fax_number": "951-679-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "MICHAEL",
"middle_name": "ADAN ADAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-03-03",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "CA",
"license": "D8646741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.