Active NPI
Dayanna G Martinez
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1821740184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ASW108397
- Practice address
- 679 S New Hampshire Ave
Los Angeles, CA 90005-1355 - Phone
- (213) 639-2500
- NPI assigned
- Jan 18, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 390200000X | ||
| Mental Health Counselor | 101YM0800X | ASW108397 | CA | Primary |
Addresses
Primary practice location
679 S New Hampshire Ave
Los Angeles, CA 90005-1355
Mailing address
679 S New Hampshire Ave
Los Angeles, CA 90005-1355
Phone (213) 639-2500
Other practice location 1
333 Olympic Dr
Santa Monica, CA 90401-3360
Phone (310) 458-8495
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW108397 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1821740184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "679 S NEW HAMPSHIRE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900051355",
"telephone_number": "213-639-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "679 S NEW HAMPSHIRE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900051355",
"telephone_number": "213-639-2500"
}
],
"practiceLocations": [
{
"address_1": "333 Olympic Dr",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904013360",
"country_code": "US",
"telephone_number": "310-458-8495",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "DAYANNA",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-18",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": "390200000X",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW108397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.