Amy Christina Martinez, LMFT129469

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

129469 Issued in CA

Practice address

1875 W Redondo Beach Blvd Ste 303
Gardena, CA 90247-3644

Phone

(562) 396-4844

NPI assigned

Sep 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mrs. Amy Christina Mendez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Penny Lane Centers

  • Marriage & Family Therapist
  • Lancaster, CA
  • NPI 1790144095
  NPD (past)

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1437668886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 W REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 W REDONDO BEACH BLVD STE 303",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473644",
            "telephone_number": "562-396-4844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "679 S New Hampshire Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900051355",
            "country_code": "US",
            "telephone_number": "213-639-2688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44443 10th St W",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "93534",
            "country_code": "US",
            "telephone_number": "661-726-2630",
            "fax_number": "661-940-3412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11721 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Fe Springs",
            "state": "CA",
            "postal_code": "906703674",
            "country_code": "US",
            "telephone_number": "661-585-8863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 E Palmdale Blvd",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935504598",
            "country_code": "US",
            "telephone_number": "661-729-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4760 Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "90230",
            "country_code": "US",
            "telephone_number": "310-390-6612",
            "fax_number": "310-398-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4760 Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "90230",
            "country_code": "US",
            "telephone_number": "310-390-6612",
            "fax_number": "310-398-5690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "AMY",
        "middle_name": "CHRISTINA",
        "credential": "LMFT129469",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "103684",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "103684",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "129469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "952633765",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MENDEZ",
            "middle_name": "CHRISTINA",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sofia Martinez Angeles
• Bryant Martinez Castro
• Joel Martinez Juarez
• Nichole Martinez-Bell
• Adrienne Martinez-Villegas, CSW
• Amy Diane Martinez
• Antonio Noel Martinez Jr.
• Ashaley Martinez
• Ashley Olivia Martinez
• Brandy E Martinez

• Marriage & Family Therapist in Gardena, CA
• Providers in Gardena, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.