Jessica Monique Martinez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

95178 Issued in CA

Practice address

101 Cirby Hills Dr
Roseville, CA 95678-4360

Phone

(916) 787-8800

NPI assigned

Jul 6, 2021

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bay Area Community Services, Inc.

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1235349572
  Medicare reassignment NPD
• Bay Area Community Services, Inc.

  • Case Management Agency
  • Oakland, CA
  • NPI 1306037981
  NPD
• Bay Area Community Services, Inc.

  • Community/Behavioral Health Agency
  • Sacramento, CA
  • NPI 1982334561
  NPD

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1972174415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3118",
            "city": "HELENDALE",
            "state": "CA",
            "postal_code": "923423118",
            "telephone_number": "909-637-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CIRBY HILLS DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956784360",
            "telephone_number": "916-787-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JESSICA",
        "middle_name": "MONIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "95178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Monique Martinez
• Daniel Michael Martinez, CADC III
• Donna Cathleen Mallari Martinez, NP
• Hector Lee Martinez, DDS
• Jackie Martinez
• Jose Luis Martinez
• Leticia Martinez
• Monique Martinez
• Paola Michelle Martinez
• Rudy Martinez III

• Clinical Social Worker in Roseville, CA
• Providers in Roseville, 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 Jul 6, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.