Celeste Rose Martinez

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT40655 Issued in CA

Practice address

1209 W Tokay St
Lodi, CA 95240-3845

Phone

(209) 331-2070

NPI assigned

Feb 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902305972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 W TOKAY ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403845",
            "telephone_number": "209-331-2070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 N California St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952021552",
            "country_code": "US",
            "telephone_number": "209-331-2070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CELESTE",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT40655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven James Marsden, RN
• Craig Anthony Martin, PHARM D
• Michelle M Martin, FNP
• Alyssa Martinez
• Cecilia Alma Martinez, SLP
• Vincent Micheal Martinez
• Tasnim Masood, NP
• Wasim Masood
• Matrix Rehabilitation, Inc.
• Mykenzie Lauren Mattheis, DO

• Licensed Psychiatric Technician in Lodi, CA
• Providers in Lodi, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.