Healthcare Provider Details

I. General information

NPI: 1881516904
Provider Name (Legal Business Name): ADRIANA MARTINEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3608 N AUGUSTA ST
FRESNO CA
93726-5607
US

IV. Provider business mailing address

3608 N AUGUSTA ST
FRESNO CA
93726-5607
US

V. Phone/Fax

Practice location:
  • Phone: 559-348-3633
  • Fax: 559-348-3633
Mailing address:
  • Phone: 559-348-3633
  • Fax: 559-348-3633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberB20260016115
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: