JACOB ANTHONY MARTINEZ (NPI# 1356718654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356718654 |
| Entity Type | Individual |
| Full Name | JACOB ANTHONY MARTINEZ |
| Practice Address |
7485 N Palm Ave Ste 103 Fresno CA 93711-5764 |
| Practice Telephone | 5592218100 |
| Practice Fax Number | 5592218101 |
| Mailing Telephone | 5592218100 |
| Mailing Fax Number | 5592218101 |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
A8253973 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952845380 | Jacob Martinez | Counselor | 6401 Eldorado Pkwy Ste 332, Mckinney, TX 75070-6520 | 2016-12-04 |
| 1023262995 | Jacob Nathanael Martinez | Specialist/Technologist, Other | 3410 Merryvale Rd, Eugene, OR 97404-3870 | 2008-11-05 |
| 1407465834 | Jacob Martinez | Pharmacist | 17238 Bulverde Rd, San Antonio, TX 78247-2401 | 2020-07-31 |
| 1114561321 | Jacob D Martinez | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2019-10-30 |
| 1235690306 | Jacob Martinez | Student in an Organized Health Care Education/Training Program | 1125 7th Ave, Beaver Falls, PA 15010-4426 | 2019-03-29 |
| 1912498478 | Jacob Percival Martinez | Anesthesiology | 200 1st St Sw, Rochester, MN 55905 | 2018-05-21 |
| 1124311014 | Jacob Salomon Martinez | Family Medicine | 200 E Russell Rd, Suite C, Tecumseh, MI 49286-2072 | 2011-05-25 |
| 1366742074 | Jacob Albert Martinez | Speech-Language Pathologist | 4441 E Lohman Ave, Las Cruces, NM 88011-8267 | 2010-10-27 |
| Street Address |
7485 N PALM AVE STE 103 |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-5764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134261936 | Simona Marie Cole | Counselor | 7485 N Palm Ave Ste 103, Fresno, CA 93711-5764 | 2007-02-12 |
| 1447752621 | Lupe Rosina Ayala | Counselor | 7485 N Palm Ave Ste 103, Fresno, CA 93711-5764 | 2018-03-05 |
| 1215438395 | Lorraine Ruiz | Counselor | 7485 N Palm Ave Ste 103, Fresno, CA 93711-5764 | 2018-02-23 |
| 1427566611 | Mairel Galeana | Counselor | 7485 N Palm Ave Ste 103, Fresno, CA 93711-5764 | 2018-01-22 |
| 1831609007 | Melissa Anne Capece-fairless | Counselor | 7485 N Palm Ave Ste 103, Fresno, CA 93711-5764 | 2017-10-02 |
| 1891217907 | Trinity Macedo | Counselor | 7485 N Palm Ave Ste 103, Fresno, CA 93711-5764 | 2017-07-10 |
| 1700307774 | Jessica Marie Northrup | Counselor | 7485 N Palm Ave Ste 103, Fresno, CA 93711-5764 | 2017-06-29 |
| 1538616164 | Kristen Loera | Counselor | 7485 N Palm Ave Ste 103, Fresno, CA 93711-5764 | 2016-09-01 |
| 1871046342 | Carlene Merino | Counselor | 7485 N Palm Ave Ste 103, Fresno, CA 93711-5764 | 2016-08-01 |
| 1669826137 | Colby Lennon | Counselor | 7485 N Palm Ave Ste 103, Fresno, CA 93711-5764 | 2016-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1649807694 | Debbie Jeneen Darden | Counselor | 891 W Kearney Blvd, Fresno, CA 93706-2514 | 2020-03-26 |
| 1205466802 | Elizabeth C Esqueda | Counselor | 804 S Parallel Ave, Fresno, CA 93721-2404 | 2020-01-22 |
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1356994909 | Joaquin Sanchez | Counselor | Quest House 2731 W Olive Ave, Fresno, CA 93728 | 2019-07-23 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1104397348 | Brian K Bradley | Counselor | 2212 N Winery Ave, Fresno, CA 93703-2896 | 2018-12-16 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1831669951 | Ashlee Faith Vasquez | Counselor | 1900 N Gateway Blvd Ste 100, Fresno, CA 93727-1622 | 2018-12-01 |
| Find all providers in FRESNO | ||||
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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.