Manuel Jesus Martinez Jr., R.N

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

786967 Issued in CA

Practice address

3107 S Grand Ave
Los Angeles, CA 90007-3816

Phone

(213) 744-1688

Fax

(213) 744-1688

NPI assigned

Nov 1, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Salvation Army

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
  • NPI 1821445339
  NPD (past)

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1346792736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 S GRAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900073816",
            "telephone_number": "213-744-8186",
            "fax_number": "213-744-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 S GRAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900073816",
            "telephone_number": "213-744-1688",
            "fax_number": "213-744-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MANUEL",
        "middle_name": "JESUS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "R.N",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "786967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Martinez
• Luis Martinez Jr.
• Luis Martinez
• Luis Enrique Martinez
• Manuel A Martinez, RD, CDE
• Margarita Martinez
• Maria Guadalupe Martinez
• Maria Luz Martinez, MSW
• Maria Yamilexi Martinez
• Mariana Zelia Martinez, MD

• Addiction (Substance Use Disorder) Registered Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Addiction (Substance Use Disorder) Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.