DERRICK MARTIN JR. (NPI# 1831799972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831799972 |
| Entity Type | Individual |
| Full Name | DERRICK MARTIN JR. |
| Practice Address |
306 Spruce Ave South San Francisco CA 94080-2741 |
| Practice Telephone | 6505899305 |
| Practice Fax Number | 6505899330 |
| Mailing Telephone | 6505899305 |
| Mailing Fax Number | 6505899330 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875932 | Derrick Francis Martin | Counselor | 1601 Nantucket Dr, Mansfield, OH 44904-2147 | 2017-07-27 |
| 1104980812 | Derrick J Martin Sr. | Surgery | 3003 S Florida Ave Ste 101, Lakeland, FL 33803-4050 | 2006-12-20 |
| 1417576208 | Derrick Martin | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave, Fresno, CA 93720-3306 | 2020-04-11 |
| 1396031209 | Derrick E Martin Sr. | Counselor | 55 Ne Grand Ave, Portland, OR 97232 | 2011-06-20 |
| 1225154867 | Derrick A Martin | Physical Therapist | 7501 Greenway Center Dr, Suite 800, Greenbelt, MD 20770-3514 | 2007-03-22 |
| Street Address |
306 SPRUCE AVE |
| City | SOUTH SAN FRANCISCO |
| State | CA |
| Zip Code | 94080-2741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609812148 | County of San Mateo | Clinic/Center | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2006-06-22 |
| 1124635925 | Jenny Punzalan Jover | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2020-09-25 |
| 1861968323 | Vicken Harout Balian | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2018-10-22 |
| 1457885428 | Cyndy Sweet | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2017-04-17 |
| 1679007876 | Charles Tyson | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2017-04-13 |
| 1245781798 | Jimmy Yang Liang | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2016-10-19 |
| 1093268500 | Sandra Gomez | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2016-08-01 |
| 1285044628 | Joseph A. Wagenhofer | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2014-05-07 |
| 1154753861 | Jaime Hernandez | Community/Behavioral Health | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2013-08-05 |
| 1245582618 | Debbie Madden | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2012-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245704303 | Patricia Sweeney | Nurse Practitioner | 435 Gran Ave, South San Francisco, CA 94080 | 2019-01-11 |
| 1518446988 | Yessenia Patricia Pena Ruiz | Counselor | 117 Pecks Ln, South San Francisco, CA 94080 | 2018-08-07 |
| 1982112579 | Breanna Mottau | Behavioral Analyst | 751a Camino Plaza, San Bruno, CA 94080 | 2018-01-17 |
| 1720594294 | Patricia Lynn Jasper | Nurse Practitioner | 395 Oyster Point Blvd., Suite 128, South San Francisco, CA 94080 | 2017-12-20 |
| 1184146755 | Breanne Ho | Student in an Organized Health Care Education/Training Program | 130 Nursery Way, South San Francisco, CA 94080 | 2017-07-14 |
| 1568843787 | Lita Wu | Optometrist | 119 Hickey Blvd, South San Francisco, CA 94080 | 2015-06-12 |
| 1720479553 | Naf Nasser Almadari | Physician Assistant | 717 Baden Ave, San Francisco, CA 94080 | 2015-02-16 |
| 1528459351 | Alexander M Gold | Internal Medicine | 270 East Grand Avenue, South San Francisco, CA 94080 | 2015-02-16 |
| 1548673411 | Elite Care Home Health Agency, Inc. | Home Health | 91 Westborough Blvd Ste 2020, South San Francisco, CA 94080 | 2014-06-08 |
| 1720415979 | Optometry Eyecareeyewear Com Inc | Optometrist | 601 Gateway Blvd., Suite 220, South San Francisco, CA 94080 | 2013-10-02 |
| Find all providers in zip 94080 | ||||
| Taxonomy Code | 225C00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Counselor |
| An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master’s degree with specialized courses in rehabilitation processes and technology. |
| Notes: Sources: Commission on Rehabilitation Counselor Certification and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493754 | Eden Wylie | Rehabilitation Counselor | 1229 Broadway St, Richvale, CA 95974-9597 | 2020-10-05 |
| 1215568852 | Charles Fred Morgan IIi | Rehabilitation Counselor | 8685 Rio San Diego Dr Apt 4415, San Diego, CA 92108-6561 | 2020-02-02 |
| 1912564279 | Rosa Maria Espinoza | Rehabilitation Counselor | 4650 Wilshire Blvd # 53, Los Angeles, CA 90010-3807 | 2019-05-22 |
| 1871059717 | Keeya Onieka Charleston | Rehabilitation Counselor | 103 Dogwood St N, Oceanside, CA 92058-6654 | 2019-02-15 |
| 1053889923 | Dynisha Shellette Johnson | Rehabilitation Counselor | 631 Maple Ave # A, Los Angeles, CA 90014-2211 | 2018-11-08 |
| 1972081933 | Jazmin Ariel Llamas | Rehabilitation Counselor | 11741 Telegraph Rd Bldg A-d, Santa Fe Springs, CA 90670-3681 | 2018-08-01 |
| 1376020875 | Sara Sherman | Rehabilitation Counselor | 4650 W Sunset Blvd Ms # 53, Los Angeles, CA 90027-6062 | 2018-07-26 |
| 1801312434 | Marissa Topete | Rehabilitation Counselor | 14624 Sherman Way, Suite 404, Van Nuys, CA 91405 | 2017-08-15 |
| 1316467400 | Clarissa Green | Rehabilitation Counselor | Vista Del Mar 3200 Motor Ave, Los Angeles, CA 90034 | 2017-06-21 |
| 1134580368 | Luz G. Ocegueda | Rehabilitation Counselor | 220 N.8th St., El Centro, CA 92243 | 2016-03-16 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH SAN FRANCISCO |
| Zip Code | 94080 |
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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.