Active NPI
Lizeth Geovanni Martinez Valadez
- Rehabilitation Practitioner
- San Luis Obispo, CA
National Provider Identifier
1669973624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 2975 McMillan Ave Ste 164
San Luis Obispo, CA 93401-6768 - Phone
- (805) 439-4890
- Fax
- (805) 439-4891
- NPI assigned
- Feb 26, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | CA | ||
| Rehabilitation Practitioner | 225400000X | CA | Primary | |
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
2975 McMillan Ave Ste 164
San Luis Obispo, CA 93401-6768
Mailing address
2975 McMillan Ave Ste 164
San Luis Obispo, CA 93401-6768
Phone (805) 439-4890
Other names 1
- Ms. Liz Martinez
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Mental Wellness Group | Current | Accepting new patients |
Locations
2975 McMillan Ave
Ste 164
San Luis Obispo, CA 93401
Phone (805) 439-4890
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.
-
- Community/Behavioral Health Agency
- Roseville, CA
- NPI 1407230329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1669973624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2975 MCMILLAN AVE STE 164",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934016768",
"telephone_number": "805-439-4890",
"fax_number": "805-439-4891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 MCMILLAN AVE STE 164",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934016768",
"telephone_number": "805-439-4890",
"fax_number": "805-439-4891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ VALADEZ",
"first_name": "LIZETH",
"middle_name": "GEOVANNI",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-26",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LIZ",
"last_name": "MARTINEZ",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.