Active NPI
Alyssa Martinez
- Occupational Therapist
- San Diego, CA
National Provider Identifier
1487154209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21724
- Practice address
- 7525 Metropolitan Dr
San Diego, CA 92108-4411 - Phone
- (619) 692-0622
- NPI assigned
- Feb 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Occupational Therapist | 225X00000X | 21724 | CA | Primary |
Addresses
Primary practice location
7525 Metropolitan Dr
San Diego, CA 92108-4411
Mailing address
7525 Metropolitan Dr
San Diego, CA 92108-4411
Phone (619) 692-0622
Other practice location 1
264 Landis Ave Ste 200
Chula Vista, CA 91910-2651
Phone (855) 223-7123
Other practice location 2
6160 Mission Gorge Rd
San Diego, CA 92120-3410
Phone (616) 481-3790
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21724 | CA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1487154209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7525 METROPOLITAN DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084411",
"telephone_number": "619-692-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7525 METROPOLITAN DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084411",
"telephone_number": "619-692-0622"
}
],
"practiceLocations": [
{
"address_1": "264 Landis Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919102651",
"country_code": "US",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6160 Mission Gorge Rd",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921203410",
"country_code": "US",
"telephone_number": "616-481-3790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-19",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "21724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.