Jeremiah Martinez Psychiatry Inc

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

JEREMIAH MARTINEZ PSYCHIATRY INC

Practice address

933 S Sunset Ave Ste 311
West Covina, CA 91790-3410

Phone

(909) 560-0974

NPI assigned

Dec 22, 2022

Organization subpart

No

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

Authorized official

Name

Jeremiah Martinez

Title

Owner

Phone

(909) 560-0974

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1821700675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 RAINBOW RIDGE RD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917664910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 S SUNSET AVE STE 311",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903410",
            "telephone_number": "909-560-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMIAH MARTINEZ PSYCHIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-560-0974"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in West Covina, CA
• Providers in West Covina, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.