Patricia Elizabeth Martinez

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

299 12TH St Ste B
Marina, CA 93933-6003

Phone

(831) 883-3030

Fax

(831) 883-3032

NPI assigned

Mar 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Prodigy Healthcare Non Profit

  • Adolescent and Children Mental Health Clinic/Center
  • Fowler, CA
  • NPI 1265158661
  NPD
• Prodigy Healthcare Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Selma, CA
  • NPI 1487164877
  NPD (past)

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1912466566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E MERCED ST",
            "city": "FOWLER",
            "state": "CA",
            "postal_code": "936252316",
            "telephone_number": "559-776-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 12TH ST STE B",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939336003",
            "telephone_number": "831-883-3030",
            "fax_number": "831-883-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "PATRICIA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alet Martinez
• Emely Annett Martinez, BCBA
• Guadalupe Martinez
• Jimmy Abel Martinez
• Omar Martinez
• Ahmad Yahia Masri
• Roman Matias
• Lauren C McAmis, LMFT
• Kevin McCann, CTRS, RTC, CCCI
• Devon McCauley

• Community Health Worker in Marina, CA
• Providers in Marina, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.