Active NPI
Johanna Martinez, D.C, L.AC.
- Chiropractor
- Carson, CA
National Provider Identifier
1669878799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 32916
- Practice address
- 21780 Avalon Blvd
Ste 103
Carson, CA 90745-3426 - Phone
- (310) 872-3286
- NPI assigned
- Nov 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 32916 | CA | Primary |
| Acupuncturist | 171100000X | 16226 | CA |
Addresses
Primary practice location
21780 Avalon Blvd
Ste 103
Carson, CA 90745-3426
Mailing address
21780 Avalon Blvd
Ste 103
Carson, CA 90745-3426
Phone (310) 872-3286
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 |
|---|---|---|---|
| 16226 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 32916 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1669878799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21780 AVALON BLVD",
"address_2": "STE 103",
"city": "CARSON",
"state": "CA",
"postal_code": "907453426",
"telephone_number": "310-872-3286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21780 AVALON BLVD",
"address_2": "STE 103",
"city": "CARSON",
"state": "CA",
"postal_code": "907453426",
"telephone_number": "310-872-3286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "JOHANNA",
"name_prefix": "Dr.",
"credential": "D.C, L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-18",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "32916",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "16226",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.