Individual provider Active NPI

Rosmery Del Socorro Martinez Jimenez

  • Driver
  • San Jacinto, CA
National Provider Identifier
1255249108
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
BL-005435-2026 Issued in CA
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

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DriverGroup: 193400000X SINGLE SPECIALTY GROUP 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.

Verify at the official NPI Registry.