ANTONIO MARTINEZ MARTINEZ JR. (NPI# 1477904001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477904001 |
| Entity Type | Individual |
| Full Name | ANTONIO MARTINEZ MARTINEZ JR. |
| Practice Address |
46900 Monroe St Suite 101 Indio CA 92201-4827 |
| Practice Telephone | 7608637219 |
| Practice Fax Number | 7608638777 |
| Mailing Telephone | 7608637219 |
| Mailing Fax Number | 7608638777 |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629627393 | Antonio Ramon Martinez | Technician | 3141 Blue Butterfly Unit 66, San Pedro, CA 90732 | 2019-09-05 |
| 1811340318 | Antonio Martinez | Behavioral Analyst | 14122 Sw 80th St, Miami, FL 33183-3031 | 2016-07-20 |
| 1760502314 | Antonio Martinez | Psychologist | 1438 W Pratt Blvd Apt 1, Chicago, IL 60626-4216 | 2007-03-29 |
| 1245247147 | Antonio Martinez | Pathology | 1030 Jefferson Ave., Memphis, TN 38104-2193 | 2006-08-02 |
| 1316971047 | Antonio E Martinez | Pathology | 5950 University Ave Ste 161, West Des Moines, IA 50266-8234 | 2006-07-10 |
| 1912483470 | Antonio Martinez | Rehabilitation Practitioner | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2018-07-17 |
| 1386004760 | Antonio Martinez | Counselor | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2016-02-29 |
| 1457775678 | Antonio Martinez | Counselor | 500 Sycamore Ln, Hereford, TX 79045-2817 | 2014-02-07 |
| 1497012926 | Antonio Martinez | Family Medicine | 707 W Sesame Dr, Harlingen, TX 78550 | 2012-04-22 |
| 1528236981 | Antonio Martinez | Nurse Practitioner | 1983 Marengo St, Dem, Los Angeles, CA 90033-1370 | 2008-02-19 |
| Street Address |
46900 MONROE ST SUITE 101 |
| City | INDIO |
| State | CA |
| Zip Code | 92201-4827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386768737 | Yunhan Zhang | Podiatrist | 46900 Monroe St, Ste E, Indio, CA 92201-4827 | 2007-03-19 |
| 1063946341 | Mari Carlo Manzana | Family Medicine | 46900 Monroe St, Indio, CA 92201-4827 | 2017-04-13 |
| 1083077747 | County of Riverside | Community/Behavioral Health | 46900 Monroe St, Suite A-101, Indio, CA 92201-4827 | 2016-03-31 |
| 1528425956 | Emmeline Helen Soto-elliott | Nurse Practitioner | 46900 Monroe St, Indio, CA 92201-4827 | 2016-01-15 |
| 1235418542 | Riverside County Dept of Mental Health | Community/Behavioral Health | 46900 Monroe St, A-101, Indio, CA 92201-4827 | 2011-08-04 |
| 1306034046 | David Rogers | Dentist | 46900 Monroe St, Ste. B201, Indio, CA 92201-4827 | 2007-10-09 |
| 1528264710 | Jerry Frank Juhl | Physical Therapist | 46900 Monroe St, Suite 304, Indio, CA 92201-4827 | 2007-06-25 |
| 1326242512 | Edward Charles Sharp | Dentist | 46900 Monroe St, Indio, CA 92201-4827 | 2007-06-12 |
| 1609090968 | Lawrence R Church Dds Inc. | Dentist | 46900 Monroe St, Suite B201, Indio, CA 92201-4827 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174151534 | Kayla Marie Berry | Licensed Vocational Nurse | Telecare Riverside County Psychiatric Health Facility, Indio, CA 92201 | 2020-03-31 |
| 1699327353 | Nawar Hadid | Dentist | 81735 Ca-111, Indio, CA 92201 | 2019-07-12 |
| 1427521889 | Thanh Trang Thi Nguyen Md Inc | Internal Medicine | 44100 Jefferson St., #e507, Indio, CA 92201 | 2019-01-09 |
| 1306328315 | Grant Nishimura | Dentist | 81-637, Suite 1, Ca-111, Indio, CA 92201 | 2018-09-06 |
| 1700363645 | Desert Physical Medicine | General Practice | 81765 Highway 111, Ste #3, Indio, CA 92201 | 2018-07-24 |
| 1336668151 | U & I Care Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 44105 Jackson St Ste 204, Indio, CA 92201 | 2017-09-13 |
| 1154847234 | Myung Kee Park | Dentist | 81106 Ca-111, #c, Indio, CA 92201 | 2017-08-21 |
| 1912434937 | Mirage Home Health | Home Health | 82691 Miles Ave, Indio, CA 92201 | 2017-05-22 |
| 1497294821 | Orthopedic and Physical Medicine Associates Inc | Chiropractor | 81765 Hwy 111, #3, Indio, CA 92201 | 2017-02-17 |
| 1497103758 | Timothy Smith | Contractor | 81337 Avenida Romero, Indio, CA 92201 | 2016-05-27 |
| Find all providers in zip 92201 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831460 | Natalie N Vale I | Peer Specialist | 82485 Miles Ave, Indio, CA 92201-4249 | 2020-11-04 |
| 1497360192 | Mara Moreno | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2020-09-10 |
| 1710512793 | Anel N Diaz | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2020-03-10 |
| 1013555218 | Cariza Amellia Rivera | Peer Specialist | 47915 Oasis St, Indio, CA 92201-6950 | 2019-12-18 |
| 1114565819 | Julieta Verdugo | Peer Specialist | 82380 Miles Ave, Indio, CA 92201-2608 | 2019-12-13 |
| 1598303190 | Nancy Azua Montal I | Peer Specialist | 82380 Miles Ave, Indio, CA 92201-2608 | 2019-12-13 |
| 1598301392 | Christina Saldivar | Peer Specialist | 47915 Oasis St Ste C, Indio, CA 92201-6950 | 2019-11-27 |
| 1174169148 | Rob James Lara | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2019-11-25 |
| 1083259667 | Veronica Alvarez | Peer Specialist | 82485 Miles Ave, Indio, CA 92201-4249 | 2019-11-07 |
| 1598309148 | Regina Wright | Peer Specialist | 82485 Miles Ave, Indio, CA 92201-4249 | 2019-11-06 |
| Find all providers in INDIO | ||||
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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.