Individual provider Active NPI

Jose Rene Marentes Sr.

  • Day Training/Habilitation Specialist
  • Bakersfield, CA
National Provider Identifier
1790343275
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
License
CI41131223 Issued in CA
Practice address
3715 Columbus St
Bakersfield, CA 93306-2719
Phone
(661) 868-7156
Fax
(661) 677-9270
NPI assigned
May 30, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X R1255520617 CA
Community Health Worker 172V00000X CI41131223 CA
Day Training/Habilitation Specialist 373H00000X CI41131223 CA Primary

Addresses

Primary practice location

3715 Columbus St
Bakersfield, CA 93306-2719

Mailing address

3715 Columbus St
Bakersfield, CA 93306-2719
Phone (661) 868-7156

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

LicenseStateTypeSpecialty
R1255520617CAMDAddiction (Substance Use Disorder) Counselor
CI41131223CAMDDay Training/Habilitation Specialist

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1790343275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 COLUMBUS ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933062719",
            "telephone_number": "661-868-7156",
            "fax_number": "661-677-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 COLUMBUS ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933062719",
            "telephone_number": "661-868-7156",
            "fax_number": "661-677-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARENTES",
        "first_name": "JOSE",
        "middle_name": "RENE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-30",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1255520617",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "CI41131223",
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CA",
            "license": "CI41131223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.