IndividualActive
Michael Martinez
NPI 1306791389 · Child Intellectual and/or Developmental Disabilities Respite Care · Riverside, CA
Provider details
- NPI number
- 1306791389
- Entity type
- Individual
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Sex
- Male
- Sole proprietor
- Yes
- License
- D8646741 (CA)
Specialties & taxonomies
- Child Intellectual and/or Developmental Disabilities Respite CarePrimary385HR2060XLicense D8646741 (CA)
Respite Care Facility
Practice location
3021 Franklin Ave
Riverside, CA 92507-3337
Phone: (951) 955-9400
Fax: (951) 679-1234
Approximate (ZIP-level) locationGet directions
Mailing address
3960 Orange St Ste 500
Riverside, CA 92501-3644
Registry dates
- Enumerated
- 2026-03-03
- Last updated
- 2026-03-03
- Certified
- 2026-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.