Active NPI
Moesha Regine Martin, LVN
- Licensed Vocational Nurse
- Fresno, CA
National Provider Identifier
1417815218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 755798
- Practice address
- 539 N Van Ness Ave
Fresno, CA 93728-3419 - Phone
- (559) 266-9581
- NPI assigned
- Jan 12, 2026
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 755798 | CA | Primary |
Addresses
Primary practice location
539 N Van Ness Ave
Fresno, CA 93728-3419
Mailing address
2567 S Rowell Ave Apt F
Fresno, CA 93725-1560
Phone (559) 970-0393
Other practice location 1
3103 E Cartwright Ave
Fresno, CA 93725-9385
Phone (559) 525-7692
Other practice location 2
1235 E St
Fresno, CA 93706-2024
Phone (559) 844-1599
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
| License | State | Type | Specialty |
|---|---|---|---|
| 755798 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1417815218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2567 S ROWELL AVE APT F",
"city": "FRESNO",
"state": "CA",
"postal_code": "937251560",
"telephone_number": "559-970-0393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "539 N VAN NESS AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937283419",
"telephone_number": "559-266-9581"
}
],
"practiceLocations": [
{
"address_1": "3103 E Cartwright Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937259385",
"country_code": "US",
"telephone_number": "559-525-7692",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1235 E St",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937062024",
"country_code": "US",
"telephone_number": "559-844-1599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "MOESHA",
"middle_name": "REGINE",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-12",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "755798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.