Active NPI
Allison Jean Martinez
- Clinical Social Worker
- Irwindale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW100742
- Practice address
- 13001 Ramona Blvd Ste I
Irwindale, CA 91706 - Phone
- (626) 337-3828
- NPI assigned
- Jun 23, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 83011 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | LCSW100742 | CA | Primary |
Addresses
Primary practice location
13001 Ramona Blvd Ste I
Irwindale, CA 91706
Mailing address
13001 Ramona Blvd Ste I
Irwindale, CA 91706-3752
Phone (626) 337-3828
Other practice location 1
2550 E Foothill Blvd Fl 2
Pasadena, CA 91107-3406
Phone (626) 744-5230
Other practice location 2
2550 E Foothill Blvd Fl 2
Pasadena, CA 91107-3406
Phone (626) 744-5230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1020 S Arroyo Pkwy
Pasadena, CA 91105-3911
Phone (626) 403-2794
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83011 | CA | MD | Mental Health Counselor |
| LCSW100742 | CA | MD | Clinical Social Worker |
| 100742 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Clinics | Current | Accepting new patients | |
| Pacific Clinics | Current | Accepting new patients | |
| Pacific Clinics | Current | Accepting new patients | |
| Pacific Clinics | Past | Accepting new patients |
Locations
800 S Santa Anita Ave
Arcadia, CA 91006
Phone (626) 254-5043
251 Llewellyn Ave
Campbell, CA 95008
Phone (408) 364-4083
2550 E Foothill Blvd
Fl 2
Pasadena, CA 91107
Phone (626) 744-5242
1020 S Arroyo Pkwy
Pasadena, CA 91105
Phone (626) 403-2794
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Campbell, CA
- NPI 1255496105
-
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1336458934
-
- Community/Behavioral Health Agency
- Covina, CA
- NPI 1811654346
-
- Community/Behavioral Health Agency
- Irwindale, CA
- NPI 1568648434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1902326655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13001 RAMONA BLVD STE I",
"city": "IRWINDALE",
"state": "CA",
"postal_code": "917063752",
"telephone_number": "626-337-3828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13001 RAMONA BLVD STE I",
"city": "IRWINDALE",
"state": "CA",
"postal_code": "91706",
"telephone_number": "626-337-3828"
}
],
"practiceLocations": [
{
"address_1": "2550 E Foothill Blvd Fl 2",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911073406",
"country_code": "US",
"telephone_number": "626-744-5230",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2550 E Foothill Blvd Fl 2",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911073406",
"country_code": "US",
"telephone_number": "626-744-5230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ALLISON",
"middle_name": "JEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-23",
"last_updated": "2022-07-21",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "83011",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW100742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irwindale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.