Alyssa Ivette Martinez

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

810 5TH Ave Ste 100
San Rafael, CA 94901-3252

Phone

(415) 996-3957

NPI assigned

Mar 12, 2024

Last updated

Oct 25, 2024By the provider in NPPES

Sex

Female

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

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.

• Side by Side

  • Community/Behavioral Health Agency
  • San Rafael, CA
  • NPI 1457742835
  NPD

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1447018510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 5TH AVE STE 100",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013252",
            "telephone_number": "415-996-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 5TH AVE STE 100",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013252",
            "telephone_number": "415-996-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ALYSSA",
        "middle_name": "IVETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne Martin, R.D.
• Matt David Martin
• Shedrick Martin, PHARMD, BCPP
• Tiffany Joy Martin, OTR/L
• Joseph Martinez-Salazar
• Ana M Martinez
• Gabriel Martinez
• Vicki S. Martinez, MD
• Ashley Marty, PPS
• Colin Daniel Maslan, LCSW

• Peer Specialist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.