Individual provider Active NPI

Rebecca Luisa Sedillo Martinez, NP-C, RN, MS

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1447654751
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95001161 Issued in CA
Practice address
1380 Howard St FL 2
San Francisco, CA 94103-2649
Phone
(415) 552-6242
NPI assigned
Oct 15, 2014
Last updated
May 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95001161 CA Primary

Addresses

Primary practice location

1380 Howard St FL 2
San Francisco, CA 94103-2649

Mailing address

5236 Garvin Ave
Richmond, CA 94805-1437
Phone (408) 203-7223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141222001189 CA Practitioner - Nurse Practitioner 0244553345 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95001161CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco CurrentSince Sep 27, 2022 Accepting new patients
City & County of San Francisco Current Accepting new patients
City and County of San Francisco CurrentSince Sep 27, 2022 Accepting new patients

Locations

1380 Howard St
Fl 2
San Francisco, CA 94103
Phone (415) 552-6242

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 20
San Francisco, CA 94110
Phone (415) 206-8524

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1447654751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5236 GARVIN AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948051437",
            "telephone_number": "408-203-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 HOWARD ST FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032649",
            "telephone_number": "415-552-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "REBECCA",
        "middle_name": "LUISA SEDILLO",
        "credential": "NP-C, RN, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.