Jorge Luis Martinez Rodriguez Sr.

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

95325556 Issued in CA

Practice address

622 S Anza St
El Cajon, CA 92020-6602

Phone

(619) 422-0544

NPI assigned

Jan 17, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1760243752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 S ANZA ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920206602",
            "telephone_number": "619-442-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 S ANZA ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920206602",
            "telephone_number": "619-422-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ RODRIGUEZ",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "95325556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Martin, CATC-I
• Lisa Martin, LMFT
• M'Lynn Monet Martin
• Michael Charles Martin
• Niamh Martin, MFT
• Elizabeth Martinez Rojas
• Alexandro Martinez
• Ariadna G Martinez
• Asher Martinez
• Patricia Ann Martinez

• General Practice Registered Nurse in El Cajon, CA
• Providers in El Cajon, CA by specialty
• General Practice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.