Individual provider Active NPI

Martha Jasmine Jimenez Pease

  • Social Worker
  • Fairfield, CA
National Provider Identifier
1396390571
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ASW134623 Issued in CA
Practice address
2460 Clay Bank Rd BLDG 8
Fairfield, CA 94533-1655
Phone
(707) 399-4820
NPI assigned
Aug 5, 2019
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Social Worker 104100000X ASW134623 CA Primary

Addresses

Primary practice location

2460 Clay Bank Rd BLDG 8
Fairfield, CA 94533-1655

Mailing address

2460 Clay Bank Rd BLDG 8
Fairfield, CA 94533-1655
Phone (707) 399-4820

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

State licenses

LicenseStateTypeSpecialty
ASW134623CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1396390571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 CLAY BANK RD BLDG 8",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945331655",
            "telephone_number": "707-399-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 CLAY BANK RD BLDG 8",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945331655",
            "telephone_number": "707-399-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ PEASE",
        "first_name": "MARTHA",
        "middle_name": "JASMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW134623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.