DR. MOLLENA MARTINEZ (NPI# 1336628965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336628965 |
| Entity Type | Individual |
| Full Name | DR. MOLLENA MARTINEZ |
| Credential | CNP, PH.D. |
| Practice Address |
3509 Coffee Rd Modesto CA 95355-1356 |
| Mailing Address |
3509 Coffee Rd Ste D3 Modesto CA 95355-1357 |
| Practice Telephone | 2092412110 |
| Mailing Telephone | 2092412110 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
14740 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3509 COFFEE RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-1356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588742498 | Gilbert Eggen | Psychiatry & Neurology | 3509 Coffee Rd, Ste D18, Modesto, CA 95355-1358 | 2006-11-01 |
| 1124639315 | Barbara Cummins | Nurse Practitioner | 3509 Coffee Rd, Modesto, CA 95355-1356 | 2020-08-12 |
| 1316504541 | Nesren Anton Azer Anton | Nurse Practitioner | 3509 Coffee Rd, Modesto, CA 95355-1356 | 2019-05-22 |
| 1164981726 | Amy Janelle Petersen | Nurse Practitioner | 3509 Coffee Rd, Ste D3, Modesto, CA 95355-1357 | 2019-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548725310 | Nakia Antoinette Edwards | Nurse Practitioner | 3405 Whistler Ave, Modesto, CA 95355-9738 | 2019-02-06 |
| 1316504541 | Nesren Anton Azer Anton | Nurse Practitioner | 3509 Coffee Rd, Modesto, CA 95355-1356 | 2019-05-22 |
| 1457898736 | Ashley Marruffo | Nurse Practitioner | 817 Coffee Rd Ste D, Modesto, CA 95355-4241 | 2017-01-25 |
| 1588040299 | Dave Cortes Dy | Nurse Practitioner | 730 17th St, Modesto, CA 95354-1209 | 2015-08-04 |
| 1295834778 | Lennard Scot Hey | Nurse Practitioner | 2501 Mchenry Ave, Suite F, Modesto, CA 95350-3259 | 2006-09-21 |
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| 1710584008 | Venessa Beck | Nurse Practitioner | 903 Cardiff St, San Diego, CA 92114-5019 | 2020-10-08 |
| 1053918094 | Janel Nicole Sanglerat | Nurse Practitioner | 416 Aviation Blvd, Santa Rosa, CA 95403-1032 | 2020-10-02 |
| 1790382760 | Christopher Tran | Nurse Practitioner | 11441 Heacock St Ste F, Moreno Valley, CA 92557-7907 | 2020-10-02 |
| 1487266292 | Mollie Shira Hudson | Nurse Practitioner | 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 | 2020-08-21 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1952912131 | Norman Ivan Kier | Nurse Practitioner | 3834 Edison Ave, Sacramento, CA 95821-2728 | 2020-08-12 |
| 1942811377 | Thanhan Mathews | Nurse Practitioner | 114 W Cameron St Apt B, Hanford, CA 93230-2965 | 2020-08-10 |
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1245849645 | Shannon Pereira | Nurse Practitioner | 2368 Honeysuckle Way, Hemet, CA 92545-4796 | 2020-07-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.