Individual provider Active NPI

Felix Martinez

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1619664356
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
3210 W Charleston Blvd Ste 2
Las Vegas, NV 89102-3210
Phone
(702) 893-2001
NPI assigned
Apr 21, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X NV Primary

Addresses

Primary practice location

3210 W Charleston Blvd Ste 2
Las Vegas, NV 89102-3210

Mailing address

3210 W Charleston Blvd Ste 2
Las Vegas, NV 89102-3210
Phone (702) 893-2001

Other identifiers 2

IdentifierTypeStateIssuer
000000000MedicaidNV
11111111111MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jlkhomecareinc@yahoo.com

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

NPI Registry JSON

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1619664356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 W CHARLESTON BLVD STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891023210",
            "telephone_number": "702-893-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 W CHARLESTON BLVD STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891023210",
            "telephone_number": "702-893-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "FELIX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11111111111",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jlkhomecareinc@yahoo.com",
            "affiliation": "N",
            "address_1": "3210 W Charleston Blvd Ste 2",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891023210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.