Tristan Charles Martinez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

5900 Hollis St Ste X
Emeryville, CA 94608-2008

Phone

(707) 326-4517

NPI assigned

Mar 5, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1336607670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 GAMBELS WAY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038951",
            "telephone_number": "707-326-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 HOLLIS ST STE X",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082008",
            "telephone_number": "707-326-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "TRISTAN",
        "middle_name": "CHARLES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amina Audrey Kim Martel, M.D
• Martina Martin, MASSAGE THERAPIST
• Christian Eloy Martinez, PA
• Sarah Jean Lindsay Martinez
• Sophia Martinez
• Ahmed Marzouk, MBBCH, PA
• Kyle Michael Mather
• Alicia Mattson
• Maxim Healthcare Services Inc.
• Maxim Healthcare Services, Inc.

• Behavior Analyst in Emeryville, CA
• Providers in Emeryville, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.