Individual provider · Type 1 NPI

Rudy Martinez Iii

Rehabilitation Practitioner · Roseville, CA

NPI number 1861808545 Active · reactivated Dec 17, 2025

Practice location

1133 Coloma Way
Roseville, CA 95661-4480

Call (916) 774-6647 Map

Mailing address

6346 Bonham Cir
Citrus Heights, CA 95610-5914

Other practice locations

  • 390 40th St, Oakland, CA 94609-2633 · (510) 613-0330

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1861808545

Rudy Martinez Iii's National Provider Identifier is 1861808545, issued on Jul 2, 2014. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Roseville, CA. The record was last updated on Dec 17, 2025.