Active NPI
Jillian Rose Martin, M.D.
- General Practice Physician
- Camp Pendleton, CA
National Provider Identifier
1194726943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 01058347A
- Practice address
- 1St FSSG, MSSG 15 Box 555717
Camp Pendleton, CA 92055-5717 - Phone
- (760) 725-3785
- NPI assigned
- Aug 2, 2005
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 01058347A | IN | Primary |
Addresses
Primary practice location
1St FSSG, MSSG 15 Box 555717
Camp Pendleton, CA 92055-5717
Mailing address
780 W G St
369
San Diego, CA 92101-5902
Phone (619) 994-2352
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01058347A | IN | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194726943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 W G ST",
"address_2": "369",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921015902",
"telephone_number": "619-994-2352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1ST FSSG, MSSG 15 BOX 555717",
"city": "CAMP PENDLETON",
"state": "CA",
"postal_code": "920555717",
"telephone_number": "760-725-3785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JILLIAN",
"middle_name": "ROSE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "01058347A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Pendleton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.