Active NPI
Gustavo Rodriguez Espinel, EKG TECHNICIAN
- EEG Technician
- Martinez, CA
National Provider Identifier
1013783646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- EEG Technician
- License
- S7Y4Q6Q6
- Practice address
- 414 Brown St
Martinez, CA 94553-2519 - Phone
- (925) 575-3085
- NPI assigned
- Nov 27, 2023
- Last updated
- Nov 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| EEG Technician | 2472E0500X | S7Y4Q6Q6 | CA | Primary |
Addresses
Primary practice location
414 Brown St
Martinez, CA 94553-2519
Mailing address
414 Brown St
Martinez, CA 94553-2519
Phone (925) 575-3085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S7Y4Q6Q6 | CA | MD | EEG Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1013783646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 BROWN ST",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945532519",
"telephone_number": "925-575-3085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 BROWN ST",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945532519",
"telephone_number": "925-575-3085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ ESPINEL",
"first_name": "GUSTAVO",
"credential": "EKG TECHNICIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "2472E0500X",
"taxonomy_group": "",
"desc": "Technician, Other, EEG",
"state": "CA",
"license": "S7Y4Q6Q6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.