Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ALEXZANDER STONE LEE MARTIN
NPI 1063215788
Peer Specialist in Yucca Valley, CA

Active since March 28, 2025
58457 29 PALMS HWY STE 102A, YUCCA VALLEY, CA 92284(760) 228-9657 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 7, 2025, Mar 28, 2025 (2 updates tracked since 2025).

  • 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
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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.

Peer Specialist
58457 29 PALMS HWY STE 102A
YUCCA VALLEY, CA 92284
Day Training/Habilitation Specialist
58457 29 PALMS HWY STE 102A
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.