Johnnie Daniel Martinez

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1730 Bishop St
San Luis Obispo, CA 93401-4691

Phone

(805) 781-5352

Fax

(805) 781-1230

NPI assigned

Dec 14, 2018

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1544745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1376014696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 BISHOP ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014691",
            "telephone_number": "805-781-5352",
            "fax_number": "805-781-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 BISHOP ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014691",
            "telephone_number": "805-781-5352",
            "fax_number": "805-781-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JOHNNIE",
        "middle_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-14",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Li Martinelli
• Lizeth Geovanni Martinez Valadez
• Leticia Martinez-Morales
• Benjamin Martinez
• Danielle Martinez, LMFT
• Karri Lynne Martinez, PT
• Miladys N/a Martinez
• Olivia Martinez, OTR
• Maria Magdalena Martins
• Mary Juliana Marzano

• Case Manager/Care Coordinator in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; 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.