Healthcare Provider Details

I. General information

NPI: 1144621103
Provider Name (Legal Business Name): DANNA SAENZ MARTINEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2014
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 E VIRGINIA ST STE 280
SAN JOSE CA
95112-5817
US

IV. Provider business mailing address

160 E VIRGINIA ST STE 280
SAN JOSE CA
95112-5817
US

V. Phone/Fax

Practice location:
  • Phone: 408-287-6200
  • Fax: 408-998-1535
Mailing address:
  • Phone: 408-287-6200
  • Fax: 408-998-1535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number128299
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: