MS. PAULA JEAN MARTIN (NPI# 1518471119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518471119 |
| Entity Type | Individual |
| Full Name | MS. PAULA JEAN MARTIN |
| Credential | CATC IV 500028AP |
| Practice Address |
1768 Mitchell Rd Ste 301 Ceres CA 95307-2156 |
| Practice Telephone | 2093534838 |
| Mailing Telephone | 2093534838 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
500028AP | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154820371 | Paula Patrice Martin | Adult Companion | 2068 N Nellis Blvd Apt 237, Las Vegas, NV 89115-5564 | 2018-02-02 |
| 1144566381 | Paula Martin | Licensed Practical Nurse | 1800 Bussing Ave, Suite 101b, Bronx, NY 10466-2032 | 2012-12-17 |
| 1811241086 | Paula Martin | Physical Therapy Assistant | 116 Brewer Rd, Danville, IL 61834-5814 | 2012-11-09 |
| 1255696050 | Paula G Martin | Speech-Language Pathologist | 2274 Mccartney Dr, Naperville, IL 60565-3071 | 2012-07-08 |
| 1376786400 | Paula J Martin | Dietitian, Registered | 1691 Morningside Ave, Pittsburgh, PA 15206-1330 | 2009-04-20 |
| 1710181052 | Paula Martin | Psychiatry & Neurology | 1691 Beacon St # 101, Brookline, MA 02445-4400 | 2007-06-12 |
| 1467591438 | Paula G Martin | Specialist | 4940 Woodlawn Dr, Bismarck, ND 58504-8038 | 2007-02-06 |
| 1790897130 | Paula B Martin | Nurse Practitioner | 8745 Litzsinger Dr, Saint Louis, MO 63144-2305 | 2006-08-31 |
| 1942283296 | Paula Martin | Family Medicine | 22890 Virgil H Goode Hwy, Boones Mill, VA 24065-4989 | 2005-11-21 |
| 1669844254 | Paula Forshun Martin | Nurse Practitioner | 2900 Union Lake Rd, Commerce Township, MI 48382-3500 | 2015-10-22 |
| Street Address |
1768 MITCHELL RD STE 301 |
| City | CERES |
| State | CA |
| Zip Code | 95307-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497277925 | Dyana Inthavong | Licensed Vocational Nurse | 1768 Mitchell Rd Ste 301, Ceres, CA 95307-2156 | 2017-07-17 |
| 1144843749 | Ebony Shealease Davis | Counselor | 1768 Mitchell Rd Ste 301, Ceres, CA 95307-2156 | 2020-05-19 |
| 1932759289 | Aegis Treatment Centers, LLC | Clinic/Center | 1768 Mitchell Rd Ste 301, Ceres, CA 95307-2156 | 2019-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144762022 | Roxanne Mata | Technician | 1904 Richland Ave., Ceres, CA 95307 | 2016-11-09 |
| 1023496379 | Steven Leonard II | Technician, Other | 1904 Richalnd Ave, Ceres, CA 95307 | 2015-05-07 |
| 1942619820 | Thevi Phanthalangsy | Pharmacist | 1421 Coffee Road, Modesto, CA 95307 | 2014-08-05 |
| 1588973937 | Gloria June Coats | Nurse Practitioner | 3641 Mitchell Road, Suite H, Ceres, CA 95307 | 2010-10-04 |
| 1992953236 | John H Meekay | Dentist | 1788 Mitchell Road Suite 105, Ceres, CA 95307 | 2008-08-28 |
| 1316073778 | Donna J Payne | Case Manager/Care Coordinator | 1904 Richland Avenue, Ceres, CA 95307 | 2007-02-27 |
| 1104994656 | Katherine Anne Kucera | Dentist | 3507 Morgan Rd, Ceres, CA 95307 | 2006-12-01 |
| 1073615084 | Tracy S Park | Dentist | 2760 3rd Street, Suite A, Ceres, CA 95307 | 2006-09-01 |
| 1902855588 | Kerry B Evnin Md Inc A Professional Medical Corporation | Family Medicine | 3641 Mitchell Rd, H, Ceres, CA 95307 | 2006-05-09 |
| 1376012559 | David Andrew Kirkpatrick | Technician | 1904 Richland Ave Bldg D, Ceres, CA 95307 | 2018-11-17 |
| Find all providers in zip 95307 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447722921 | Todd Anthony Freeman | Counselor | 3920 Hollywood Dr, Ceres, CA 95307-9776 | 2018-12-21 |
| 1073709507 | Tina K Gill | Counselor | 2829 Alphonse Dr, Ceres, CA 95307-2128 | 2007-09-18 |
| 1740308220 | Luz Pulido | Counselor | 943 Big Creek Ln, Ceres, CA 95307-7241 | 2007-03-26 |
| 1417074063 | Robin Neal Vanderheiden | Counselor | 2305 Hidden Oak Ln, Ceres, CA 95307-7113 | 2007-03-26 |
| 1225155179 | Alejandro Duran | Counselor | 1766 Southlawn Dr, Ceres, CA 95307-4581 | 2007-03-24 |
| 1639203490 | Veronica P Daniel | Counselor | 2304 Calcagno St, Ceres, CA 95307-1646 | 2007-03-15 |
| 1821128661 | John Richard Mataka | Counselor | 1904 Richland Ave Bldg F, Ceres, CA 95307-4562 | 2007-03-07 |
| 1821606369 | Jose Alfredo Arevalos Jr. | Counselor | 1768 Mitchell Rd, Ceres, CA 95307-2156 | 2020-07-21 |
| 1144843749 | Ebony Shealease Davis | Counselor | 1768 Mitchell Rd Ste 301, Ceres, CA 95307-2156 | 2020-05-19 |
| 1982173274 | Daniel Wayne Brown Jr. | Counselor | 1904 Richland Ave, Ceres, CA 95307-4562 | 2018-11-16 |
| Find all providers in CERES | ||||
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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.