Alejandro Gastello Martinez, SOCIAL WORKER

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

113265 Issued in CA

Practice address

5100 Obyrnes Ferry Rd
Jamestown, CA 95327-9102

Phone

(209) 984-5291

NPI assigned

Jul 26, 2023

Last updated

Aug 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Locations

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

• Corrections and Rehabilitation-Headquarters

  dba Sierra Conservation Center

  • Pharmacy
  • Jamestown, CA
  • NPI 1871898304
  NPD
• Sierra Conservation Center

  • Adult Mental Health Clinic/Center
  • Jamestown, CA
  • NPI 1710427778
  NPD (past)

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1356022040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 CHAMBORD DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952102275",
            "telephone_number": "209-689-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 OBYRNES FERRY RD",
            "city": "JAMESTOWN",
            "state": "CA",
            "postal_code": "953279102",
            "telephone_number": "209-984-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ALEJANDRO",
        "middle_name": "GASTELLO",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "113265",
            "primary": true
        },
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "41032",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haku Kevin Kahoano, M.D.
• Thomas King, FNP
• Jeffrey Frank Kocher, DDS
• Michelle J Low
• Blong Roger Ly, DDS
• Mathiesen Memorial Health Center
• Mathiesen Memorial Health Clinic
• Jarie McCoy, MSW, LCSW
• Young Quoc Ngo, D.D.S
• Lucia Thomas Olson, LMFT

• Student in an Organized Health Care Education/Training Program in Jamestown, CA
• Providers in Jamestown, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.