Traci Marie Martinez

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

170039036 Issued in CA

Practice address

7380 Correspondence Dr
Rancho Cucamonga, CA 91730-8276

Phone

(909) 582-5699

NPI assigned

Mar 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1679150783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 CORRESPONDENCE DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308276",
            "telephone_number": "909-582-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 CORRESPONDENCE DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308276",
            "telephone_number": "909-582-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "TRACI",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "170039036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renata Martinez
• Rubi Martinez
• Ruth Martinez
• Sharon R Martinez, DC
• Susana Martinez, FNP-C
• Vianna Martinez
• Winnie Anne Fabroa Martinez
• Bailey Martins
• Rowena S Martir, D.M.D.
• Anna Lourdes Ramos Martirez, M.A., B.C.B.A

• School Psychologist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.