Active NPI
Marty E Brewer
- Addiction (Substance Use Disorder) Counselor
- Sacramento, CA
National Provider Identifier
1326313818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 4441 Auburn Blvd Ste E
Sacramento, CA 95841-4139 - Phone
- (916) 473-5764
- Fax
- (916) 473-5766
- NPI assigned
- Mar 15, 2012
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
4441 Auburn Blvd Ste E
Sacramento, CA 95841-4139
Mailing address
4441 Auburn Blvd Ste E
Sacramento, CA 95841-4139
Phone (916) 473-5764
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331769600000",
"number": "1326313818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4441 AUBURN BLVD STE E",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958414139",
"telephone_number": "916-473-5764",
"fax_number": "916-473-5766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4441 AUBURN BLVD STE E",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958414139",
"telephone_number": "916-473-5764",
"fax_number": "916-473-5766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "MARTY",
"middle_name": "E",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-15",
"last_updated": "2012-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.