Active NPI
Rosmery Del Socorro Martinez Jimenez
- Driver
- San Jacinto, CA
National Provider Identifier
1255249108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- BL-005435-2026
- Practice address
- 166 E Main St Ste 8
San Jacinto, CA 92583-4200 - Phone
- (951) 292-8762
- Fax
- (951) 364-3767
- NPI assigned
- Aug 31, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Driver | 172A00000X | BL-005435-2026 | CA | Primary |
Addresses
Primary practice location
166 E Main St Ste 8
San Jacinto, CA 92583-4200
Mailing address
166 E Main St Ste 8
San Jacinto, CA 92583-4200
Phone (951) 292-8762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1255249108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 E MAIN ST STE 8",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "925834200",
"telephone_number": "951-292-8762",
"fax_number": "951-364-3767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 E MAIN ST STE 8",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "925834200",
"telephone_number": "951-292-8762",
"fax_number": "951-364-3767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ JIMENEZ",
"first_name": "ROSMERY",
"middle_name": "DEL SOCORRO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Driver",
"state": "CA",
"license": "BL-005435-2026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jacinto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.