Active NPI
Traci Martin
- Case Manager/Care Coordinator
- Vernon, CA
National Provider Identifier
1326494600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 4611 E 52ND Dr Apt 123
Vernon, CA 90058-5534 - Phone
- (702) 628-1753
- NPI assigned
- May 5, 2016
- Last updated
- May 5, 2016
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
4611 E 52ND Dr Apt 123
Vernon, CA 90058-5534
Mailing address
4611 E 52ND Dr Apt 123
Vernon, CA 90058-5534
Phone (702) 628-1753
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": "1462406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462406400000",
"number": "1326494600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 E 52ND DR APT 123",
"city": "VERNON",
"state": "CA",
"postal_code": "900585534",
"telephone_number": "702-628-1753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4611 E 52ND DR APT 123",
"city": "VERNON",
"state": "CA",
"postal_code": "900585534",
"telephone_number": "702-628-1753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "TRACI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-05",
"last_updated": "2016-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernon, CA
- La Urgent Care & Occupational Medicine
- Eric Lai, DPT
- Yun Soo Lee, L.AC.
- Los Angeles County Department of Mental Health (Southeast Region MET)
- Matthew Noboru Maki, DPT
- Jessica McKee, PTA
- Miracle Health Clinic Inc
- Mysaints DME LLC
- Rebekah Lynn Nupp, LCSW
- Occupational Health Centers of California, a Medical Corporation (Concentra Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.