BRENDA MARTINEZ (NPI# 1780291534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780291534 |
| Entity Type | Individual |
| Full Name | BRENDA MARTINEZ |
| Practice Address |
12141 Brookhurst St Ste 201 Garden Grove CA 92840-2865 |
| Practice Telephone | 5103377950 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers | |
| N | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1520 Nutmeg Pl Ste 110, Costa Mesa, CA 926262557 | 8182416780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700245784 | Brenda Martinez | Occupational Therapy Assistant | 12503 Bryce Cir, Cerritos, CA 90703-8334 | 2016-02-18 |
| 1427420090 | Brenda Liz Martinez | Nutritionist | Carr 3 Km 151.2, Bo. Coqui, Salinas, PR 00785 | 2015-10-22 |
| 1407064694 | Brenda Martinez | Psychologist | Rep.alamein #18, 65th. Infantery Ave., San Juan, PR 00926 | 2007-05-19 |
| 1225187859 | Brenda Mansfield Martinez | Case Manager/Care Coordinator | 1505 San Antonio St, Killeen, TX 76541-7944 | 2007-01-10 |
| 1396358867 | Brenda Martinez | Counselor | 5849 Crocker St Unit L, Los Angeles, CA 90003-1311 | 2020-08-25 |
| 1144841669 | Brenda Martinez | Behavior Technician | 22415 Se 231st St, Maple Valley, WA 98038-5000 | 2020-05-06 |
| 1760012363 | Brenda Martinez | Behavior Technician | 1055 W 7th St Ste 1800, Los Angeles, CA 90017-2544 | 2020-01-22 |
| 1053953620 | Brenda Martinez | Counselor | 8730 Boeing Dr, El Paso, TX 79925-1228 | 2019-10-15 |
| 1407403694 | Brenda Martinez | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713-1002 | 2019-08-22 |
| 1821572421 | Brenda Martinez | Social Worker | 1120 Nw 14th St Rm 1213, Miami, FL 33136-2107 | 2018-09-19 |
| Street Address |
12141 BROOKHURST ST STE 201 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840-2865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326391483 | Jeannette M Hayden | Counselor | 12141 Brookhurst St Ste 201, Garden Grove, CA 92840-2865 | 2012-10-25 |
| 1164888111 | Danielle Trang Pham | Counselor | 12141 Brookhurst St Ste 201, Garden Grove, CA 92840-2865 | 2016-01-06 |
| 1962867705 | Heather Koch | Counselor | 12141 Brookhurst St Ste 201, Garden Grove, CA 92840-2865 | 2015-12-21 |
| 1811380561 | Eileen Dorsey | Counselor | 12141 Brookhurst St Ste 201, Garden Grove, CA 92840-2865 | 2015-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| Find all providers in zip 92840 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023461456 | Kelly Chau Quach | Counselor | 14411 Brookhurst St Ste D & E, Garden Grove, CA 92843 | 2016-07-21 |
| 1487022539 | Laura Bosworth, Inc | Counselor | 12881 Knott St Ste 106, Garden Grove, CA 92841-3939 | 2015-09-07 |
| 1922484385 | Terry Chang | Counselor | 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 | 2015-08-07 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1194126201 | Hoang Bruce Nguyen | Counselor | 12755 Brookhurst St Ste 116&205, Garden Grove, CA 92840-4857 | 2014-09-08 |
| 1699182634 | Kevin Le | Counselor | 12755 Brookhurst St Ste 205, Garden Grove, CA 92840-4856 | 2014-07-22 |
| 1841548807 | Tuong-vi Thi Vu | Counselor | 12777 Garden Grove Blvd, Apt # 208, Garden Grove, CA 92843-1935 | 2012-08-24 |
| 1356620728 | Salvador Navarro | Counselor | 9862 W. Chapman Ave, Garden Grove, CA 92841-2841 | 2011-08-16 |
| 1316226889 | Laura Macias Zamora | Counselor | 9862 West Chapman Avenue, Garden Grove, CA 92646 | 2011-08-15 |
| 1487883120 | Mari Kawai | Counselor | 11358 Knott St, Garden Grove, CA 92841-1400 | 2009-07-02 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
Please comment or provide details below to improve the information on BRENDA MARTINEZ.
| 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.