Individual provider · Type 1 NPI

Marcett Fontane Martinez

Student in an Organized Health Care Education/Training Program · Elk Grove, CA

NPI number 1639893084 Active

Practice location

9340 E Stockton Blvd
Elk Grove, CA 95624-1563

Call (916) 509-8198 Map

Mailing address

3161 Dwight Rd
Elk Grove, CA 95758-6456

Specialties and licenses

TaxonomyCodeLicense
Adult Companion 372600000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Peer Specialist 175T00000XMPSS-OYLVAS (CA)
Rehabilitation Practitioner 225400000XNone listed
Community Health Worker 172V00000XNone listed
Rehabilitation Practitioner 225400000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639893084

Marcett Fontane Martinez's National Provider Identifier is 1639893084, issued on Sep 29, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Elk Grove, CA. The record was last updated on Feb 24, 2026.