ALEXZANDER STONE LEE MARTIN
NPI 1063215788
Peer Specialist in Yucca Valley, CA
- Individual
- Male
- Peer Specialist
About ALEXZANDER MARTIN
This page provides the complete NPI Profile along with additional information for Alexzander Martin, a provider established in Yucca Valley, California with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1063215788 assigned on March 2025. The practitioner's primary taxonomy code is 175T00000X with license number MPSS-SNKXVE (CA). The provider is registered as an individual and his NPI record was last updated June 2026.
- NPI
- 1063215788 Verify this NPI
- Provider Name
- ALEXZANDER STONE LEE MARTIN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 58457 29 PALMS HWY STE 102A YUCCA VALLEY, CA 92284
- Location Phone
- (760) 228-9657
- Mailing Address
- 58457 29 PALMS HWY STE 102A YUCCA VALLEY, CA 92284
- Mailing Phone
- (760) 228-9657
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-28-2025
- Last Update Date
- 06-29-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- MPSS-SNKXVE
- License State
- CA
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
YUCCA VALLEY, CA 92284
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063215788, enumerated as an "individual" on March 28, 2025.
The provider is located at 58457 29 PALMS HWY STE 102A YUCCA VALLEY, CA 92284 and the phone number is (760) 228-9657.
Peer Specialist with taxonomy code 175T00000X.