Individual provider Active NPI

Celso Rios Martinez

  • Private Vehicle
  • Perris, CA
National Provider Identifier
1386286722
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
A6294226 Issued in CA
Practice address
3366 Evening Mist LN
Perris, CA 92571-3760
Phone
(951) 349-8760
NPI assigned
Oct 16, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X A6294226 CA Primary

Addresses

Primary practice location

3366 Evening Mist LN
Perris, CA 92571-3760

Mailing address

3366 Evening Mist LN
Perris, CA 92571-3760
Phone (951) 349-8760

Other practice location 1

3366 Evening Mist Ln
Perris, CA 92571-3760
Phone (951) 349-8760

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

State licenses

LicenseStateTypeSpecialty
A6294226CAMDPrivate Vehicle

Practice roles

OrganizationSpecialtyStatusNew patients
Extra Mile Care Transportation CurrentSince Feb 2, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1386286722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 EVENING MIST LN",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925713760",
            "telephone_number": "951-349-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 EVENING MIST LN",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925713760",
            "telephone_number": "951-349-8760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3366 Evening Mist Ln",
            "address_purpose": "LOCATION",
            "city": "Perris",
            "state": "CA",
            "postal_code": "925713760",
            "country_code": "US",
            "telephone_number": "951-349-8760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CELSO",
        "middle_name": "RIOS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "CA",
            "license": "A6294226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.