DR JEREMY MARTINEZ MD A PROFESSIONAL CORPORATION (NPI# 1770947525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770947525 |
| Entity Type | Organization |
| Organization Name | DR JEREMY MARTINEZ MD A PROFESSIONAL CORPORATION |
| Practice Address |
631-a Maple Avenue Los Angeles CA 90014 |
| Mailing Address |
8605 Santa Monica Blvd Pmb 28031 West Hollywood CA 90069-4109 |
| Practice Telephone | 4242568741 |
| Practice Fax Number | 8665695017 |
| Mailing Telephone | 4242568741 |
| Mailing Fax Number | 8665695017 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2019-08-15 |
| Authorized Official Name | DR. JEREMY D MARTINEZ (PRESIDENT) |
| Authorized Official Telephone | 4242568741 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
A101936 | CA | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1849 Sawtelle Blvd Ste 670, Los Angeles, CA 900257082 | 3104786006 | 3104786117 |
| Street Address |
631-A MAPLE AVENUE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205387776 | Los Angeles County Department of Mental Health | Clinic/Center | 631-a Maple Avenue, Los Angeles, CA 90014-2211 | 2016-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992269757 | Los Angeles Christian Health Centers | Clinic/Center | 325 7th Street, Los Angeles, CA 90014 | 2019-01-25 |
| 1578924536 | Jane Shomof | Marriage & Family Therapist | 724 S Spring St #1102, Elements Therapy, Los Angeles, CA 90014 | 2016-03-17 |
| 1588069769 | Los Angeles County Department of Mental Health | Clinic/Center | 631-c Maple Ave, Los Angeles, CA 90014 | 2014-10-29 |
| 1720499619 | County of Los Angeles | Clinic/Center | 242 East 6th Street, Los Angeles, CA 90014 | 2014-05-13 |
| 1235562703 | Savonn Tep | Counselor | 631 Maple Ave Ste C, Los Angeles, CA 90014 | 2013-08-19 |
| 1760759161 | Alice Winther | Psychologist | 617 S. Olive St., Suite 510, Los Angeles, CA 90014 | 2011-11-30 |
| 1265723068 | Shemetra Lachell James | Student in an Organized Health Care Education/Training Program | 617 S. Olive St. Suite #806, Los Angeles, CA 90014 | 2011-04-27 |
| 1558533646 | Leland Scott Frazier | Psychologist | 617 S Olive St, Suite 510, Los Angeles, CA 90014 | 2008-03-28 |
| 1285846287 | United Paratransit | Non-emergency Medical Transport (VAN) | 728 S Hill St, Ste 100, Los Angeles, CA 90014 | 2007-05-04 |
| 1558581389 | Los Angeles County Department of Mental Health | Clinic/Center | 631-b Maple Avenue, Los Angeles, CA 90014 | 2007-04-26 |
| Find all providers in zip 90014 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1124640610 | Brothers Lcsw Inc | Clinic/Center | 617 S Olive St Ste 906, Los Angeles, CA 90014-1630 | 2020-05-07 |
| 1508494659 | Noah Hass-cohen Psyd Psychology, Inc. | Clinic/Center | 640 S San Vicente Blvd Ste 264, Los Angeles, CA 90048-4884 | 2020-04-01 |
| 1013438316 | 1334 Westwood, LLC | Clinic/Center | 1334 Westwood Blvd Ste 3a, Los Angeles, CA 90024-4951 | 2017-06-28 |
| 1285008862 | Imedventures, LLC | Clinic/Center | 2477 Fletcher Dr, Suite C, Los Angeles, CA 90039-2801 | 2015-11-19 |
| 1295108272 | Hadassah Brain Center Inc. | Clinic/Center | 8631 W 3rd St Ste 225e, Los Angeles, CA 90048-5940 | 2015-11-12 |
| 1124496039 | Resilience Treatment Center | Clinic/Center | 1940 Century Park E, Suite 200, Los Angeles, CA 90067-1700 | 2015-09-09 |
| 1689040313 | Ceola Morgan | Clinic/Center | 2421 8th Ave, Los Angeles, CA 90018-1767 | 2015-08-17 |
| 1477933463 | Department of Mental Health | Clinic/Center | 550 South Vermont, Los Angeles, CA 90020 | 2015-06-04 |
| 1124457858 | Breathe Weho Treatment Services | Clinic/Center | 8060 Melrose Ave Fl 3, Los Angeles, CA 90046-7039 | 2013-11-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90014 |
Please comment or provide details below to improve the information on DR JEREMY MARTINEZ MD A PROFESSIONAL CORPORATION.
| 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.