Active NPI
Sara Michelle Martinez
- Counselor
- Vallejo, CA
National Provider Identifier
1649634650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 236 Georgia St
Suite 101
Vallejo, CA 94590-5991 - Phone
- (510) 613-0330
- NPI assigned
- Apr 6, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
236 Georgia St
Suite 101
Vallejo, CA 94590-5991
Mailing address
236 Georgia St
Suite 101
Vallejo, CA 94590-5991
Other names 1
- Ms. Sara Michelle Ray
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460332800000",
"number": "1649634650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 GEORGIA ST",
"address_2": "SUITE 101",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945905991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 GEORGIA ST",
"address_2": "SUITE 101",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945905991",
"telephone_number": "510-613-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "SARA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-06",
"last_updated": "2016-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "RAY",
"middle_name": "MICHELLE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.