Active NPI
Anissa Martinez
- Rehabilitation Practitioner
- Covina, CA
National Provider Identifier
1841998416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 510 S 2ND Ave
Covina, CA 91723-3017 - Phone
- (626) 973-8123
- Fax
- (626) 974-8198
- NPI assigned
- Feb 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CA | ||
| Rehabilitation Practitioner | 225400000X | CA | Primary |
Addresses
Primary practice location
510 S 2ND Ave
Covina, CA 91723-3017
Mailing address
1215 N Heathdale Ave
Covina, CA 91722-1439
Phone (626) 824-3018
Other practice location 1
1499 Huntington Dr Ste 101
South Pasadena, CA 91030-5444
Phone (213) 305-3030
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1841998416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 N HEATHDALE AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917221439",
"telephone_number": "626-824-3018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 S 2ND AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917233017",
"telephone_number": "626-973-8123",
"fax_number": "626-974-8198"
}
],
"practiceLocations": [
{
"address_1": "1499 Huntington Dr Ste 101",
"address_purpose": "LOCATION",
"city": "South Pasadena",
"state": "CA",
"postal_code": "910305444",
"country_code": "US",
"telephone_number": "213-305-3030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ANISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-22",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.