Individual provider Active NPI

Andrea Martinez

  • Case Manager/Care Coordinator
  • Sacramento, CA
National Provider Identifier
1669956801
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2233 Watt Ave Ste 360
Sacramento, CA 95825-0569
NPI assigned
Sep 24, 2018
Reactivated
Mar 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

2233 Watt Ave Ste 360
Sacramento, CA 95825-0569

Mailing address

2233 Watt Ave Ste 360
Sacramento, CA 95825-0569

Other practice location 1

600 Bercut Dr.
Sacramento, CA 95811
Phone (916) 440-1500 ext. 141

Other practice location 2

909 14th St
Modesto, CA 95354-1010
Phone (209) 491-2712

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

Practice roles

OrganizationSpecialtyStatusNew patients
World Relief Corporation of National Association of Evangelicals PastSince Apr 27, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1669956801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 WATT AVE STE 360",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958250569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 WATT AVE STE 360",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958250569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Bercut Dr.",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "95811",
            "country_code": "US",
            "telephone_number": "916-440-1500 x141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "909 14th St",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953541010",
            "country_code": "US",
            "telephone_number": "209-491-2712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "deactivation_date": "2019-02-25",
        "reactivation_date": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.