Active NPI
Semaj Martin
- Student in an Organized Health Care Education/Training Program
- Stockton, CA
National Provider Identifier
1891369674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2495 W March LN Ste 125
Stockton, CA 95207-8224 - Phone
- (209) 465-1080
- NPI assigned
- May 17, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2495 W March LN Ste 125
Stockton, CA 95207-8224
Mailing address
2495 W March LN Ste 125
Stockton, CA 95207-8224
Phone (209) 465-1080
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | server |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sow a Seed Community Foundation | Current | Accepting new patients | |
| Victor Community Support Services, Inc. | Past | Accepting new patients |
Locations
42 W 8th St
Tracy, CA 95376
Phone (209) 229-4559
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Voluntary or Charitable Agency
- Tracy, CA
- NPI 1699242495
-
- Adolescent and Children Mental Health Clinic/Center
- Stockton, CA
- NPI 1932251980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1891369674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2495 W MARCH LN STE 125",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952078224",
"telephone_number": "209-465-1080",
"fax_number": "209-465-2709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 W MARCH LN STE 125",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952078224",
"telephone_number": "209-465-1080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "SEMAJ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-17",
"last_updated": "2025-08-06",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "server",
"affiliation": "N",
"address_1": "42 W 8th St",
"city": "Tracy",
"state": "CA",
"country_code": "US",
"postal_code": "953764123",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.