Active NPI
Alicia Martinez, MA
- Home Health Aide
- Imperial Beach, CA
National Provider Identifier
1922275734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 053279
- Practice address
- 540 10TH St
Imperial Beach, CA 91932-1513 - Phone
- (619) 423-0211
- Fax
- (619) 423-0211
- NPI assigned
- May 12, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 053279 | CA | Primary |
Addresses
Primary practice location
540 10TH St
Imperial Beach, CA 91932-1513
Mailing address
540 10TH St
Imperial Beach, CA 91932-1513
Phone (619) 423-0211
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053279 | CA | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1922275734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 10TH ST",
"city": "IMPERIAL BEACH",
"state": "CA",
"postal_code": "919321513",
"telephone_number": "619-423-0211",
"fax_number": "619-423-0211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 10TH ST",
"city": "IMPERIAL BEACH",
"state": "CA",
"postal_code": "919321513",
"telephone_number": "619-423-0211",
"fax_number": "619-423-0211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ALICIA",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-12",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "CA",
"license": "053279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Imperial Beach, CA
- Steven Yee Luo, DDS
- M Mallempalli Professional Dental Corporation
- M Mallempalli Professional Dental Corporation
- Flor Maria Macias Sanchez, BA
- Arnel Reyes Mariano, D.D.S.
- Elena Dee Martinez
- Mary Ann V Sanvictores DDS Inc
- Master Healthcare Solutions, LLC
- McAlister Institute for Treatment & Education, Inc. (Mar Vista Senior Teen Recovery Center)
- Karley King McCloskey, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.