AXA ELIZABETH ORELLANA MARTINEZ
NPI 1962115402
Peer Specialist in Perris, CA

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

Active since December 29, 2022

308 E SAN JACINTO AVE, PERRIS, CA 92570(951) 600-6382 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 19, 2023, Dec 29, 2022 (2 updates tracked since 2022).

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About Axa Elizabeth Orellana Martinez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AXA ELIZABETH ORELLANA MARTINEZ (NPI 1962115402) is an individual peer specialist in Perris, California, licensed in California (MPSS-WIXMEH) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1962115402

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameAXA ELIZABETH ORELLANA MARTINEZ

Location Address308 E SAN JACINTO AVEPerris, CA 92570-2878

Mailing Address308 E San Jacinto AvePerris, CA 92570-2878 · (951) 600-6382

Phone(951) 600-6382

Sole ProprietorNo

Enumeration DateDecember 29, 2022

Last NPPES UpdateJune 19, 20232 updates tracked since enumeration

NPPES CertifiedJune 19, 2023

✔ NPI 1962115402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in CA · MPSS-WIXMEH

Definition

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.

308 E SAN JACINTO AVE, Perris, CA 92570

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