Corina Martinez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

107826 Issued in CA

Practice address

4553 Glencoe Ave Ste 315
Marina del Rey, CA 90292-7933

Phone

(855) 427-2778

Fax

(424) 465-6998

NPI assigned

Sep 14, 2016

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

Practice roles

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.

• Mark David Levine, MD Burlingame PC

  • Psychiatry Physician
  • San Mateo, CA
  • NPI 1770709263
  NPD (past)

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1952859324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4553 GLENCOE AVE STE 315",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927933",
            "telephone_number": "855-427-2778",
            "fax_number": "424-465-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4553 GLENCOE AVE STE 315",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927933",
            "telephone_number": "855-427-2778",
            "fax_number": "424-465-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CORINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "107826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Women'S Medical Group, Inc.
• Marius Saines, M.D. Professional Corp
• Mark R. Pulera, MD, a Professional Corporation
• Dontae Marshall
• Jordan Martin, MA, NCC, LPC
• Lydiesther Martinez, MD
• Marvin Behavioral Health Ca PC
• Marvin Behavioral Health Inc
• Marvin Behavioral Health NJ PC
• Marvin Behavioral Health Wi PC

• Clinical Social Worker in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.