Active NPI
Idaliz Perez Martinez, MA
- Case Manager/Care Coordinator
- Chula Vista, CA
National Provider Identifier
1730817412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- Y9589962
- Practice address
- 1196 3Rd Ave
Chula Vista, CA 91911-3131 - Phone
- (619) 427-4661
- NPI assigned
- Aug 10, 2022
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Y9589962 | CA | Primary |
Addresses
Primary practice location
1196 3Rd Ave
Chula Vista, CA 91911-3131
Mailing address
1196 3Rd Ave
Chula Vista, CA 91911-3131
Phone (619) 427-4661
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Y9589962 | CA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1730817412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1196 3RD AVE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919113131",
"telephone_number": "619-427-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1196 3RD AVE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919113131",
"telephone_number": "619-427-4661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ MARTINEZ",
"first_name": "IDALIZ",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "Y9589962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.