Brittany Martin

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

6059260740 Issued in CA

Practice address

11539 Hawthorne Ave
Hesperia, CA 92345-1927

Phone

(760) 508-8421

NPI assigned

Jan 4, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aging Grace Senior Living Facility LLC

  • Assisted Living Facility
  • Hesperia, CA
  • NPI 1033864525
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1245991082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 ROSE QUARTZ LN",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233434",
            "telephone_number": "760-508-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11539 HAWTHORNE AVE",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451927",
            "telephone_number": "760-508-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "CA",
            "license": "6059260740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@aginggraceseniorliving.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11539 Hawthorne Ave",
            "city": "Hesperia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923451927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexander Marnoff, PHARMD
• Jocelyn Marquez
• Sandra Marquez
• Valerie Marshall, MBA GERONTOLOGY
• Venus Marshall
• Angie Martinez, SLPA
• Cristofer Martinez
• Irene Josie Martinez
• Maritza Martinez
• Natalie Martinez

• Nursing Home Administrator in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Nursing Home Administrator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.