Active NPI
Tabetha Martin, RN
- Home Health Registered Nurse
- Valley Center, CA
National Provider Identifier
1780504613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 95208086
- Practice address
- 12618 Sierra Rojo Rd
Valley Center, CA 92082-5719 - Phone
- (760) 317-6111
- NPI assigned
- Jul 20, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95208086 | CA | |
| Case Management Registered Nurse | 163WC0400X | 95208086 | CA | |
| Community Health Registered Nurse | 163WC1500X | 558692 | CA | |
| Home Health Registered Nurse | 163WH0200X | 95208086 | CA | Primary |
Addresses
Primary practice location
12618 Sierra Rojo Rd
Valley Center, CA 92082-5719
Mailing address
PO Box 1922
Valley Center, CA 92082-1922
Phone (760) 317-6111
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": "1784505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1780504613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1922",
"city": "VALLEY CENTER",
"state": "CA",
"postal_code": "920821922",
"telephone_number": "760-317-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12618 SIERRA ROJO RD",
"city": "VALLEY CENTER",
"state": "CA",
"postal_code": "920825719",
"telephone_number": "760-317-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "TABETHA",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-20",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95208086",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CA",
"license": "95208086",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CA",
"license": "558692",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "CA",
"license": "95208086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Center, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.