Active NPI
Lorelie Shalaine K. Martir, RN
- Registered Nurse
- San Mateo, CA
National Provider Identifier
1174374490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 672819
- Practice address
- 100 S San Mateo Dr
San Mateo, CA 94401-3805 - Phone
- (650) 696-5400
- NPI assigned
- Mar 27, 2024
- Last updated
- Mar 27, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 672819 | CA | Primary |
Addresses
Primary practice location
100 S San Mateo Dr
San Mateo, CA 94401-3805
Mailing address
100 S San Mateo Dr
San Mateo, CA 94401-3805
Phone (650) 438-5033
Other practice location 1
2450 Fairway Dr
San Leandro, CA 94577-5411
Phone (650) 438-5033
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 672819 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1174374490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S SAN MATEO DR",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013805",
"telephone_number": "650-438-5033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S SAN MATEO DR",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013805",
"telephone_number": "650-696-5400"
}
],
"practiceLocations": [
{
"address_1": "2450 Fairway Dr",
"address_purpose": "LOCATION",
"city": "San Leandro",
"state": "CA",
"postal_code": "945775411",
"country_code": "US",
"telephone_number": "650-438-5033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIR",
"first_name": "LORELIE SHALAINE",
"middle_name": "K.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-27",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "672819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
- Maria Socorro Martinez
- Monique Martinez
- Saila Zulma Martinez, MSW
- Sandra Martinez
- Viviana Vera Martinez
- Nancy M. Marx, PH.D.
- Mary Ann Miner, M.D., Inc.
- Maryam Arjomand MD Professional Corporation (Maryam Arjomand, MD)
- Masayasu Kihira MD a Professional Corporation (Nihon Bay Clinic)
- Kevin Masek, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.