Active NPI
Marta Rodriguez Russell, LVN
- Licensed Vocational Nurse
- Oxnard, CA
National Provider Identifier
1801104245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 185502
- Practice address
- 2241 Laurel Valley PL
Oxnard, CA 93036-7714 - Phone
- (805) 988-9012
- NPI assigned
- Sep 20, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 185502 | CA | Primary |
Addresses
Primary practice location
2241 Laurel Valley PL
Oxnard, CA 93036-7714
Mailing address
1935 Oneida PL
Oxnard, CA 93030-4751
Phone (805) 278-0778
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 185502 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284940800000",
"number": "1801104245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 ONEIDA PL",
"city": "OXNARD",
"state": "CA",
"postal_code": "930304751",
"telephone_number": "805-278-0778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2241 LAUREL VALLEY PL",
"city": "OXNARD",
"state": "CA",
"postal_code": "930367714",
"telephone_number": "805-988-9012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "MARTA",
"middle_name": "RODRIGUEZ",
"name_prefix": "Mrs.",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-20",
"last_updated": "2010-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "185502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.