Jerry San Martin

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1300 S. Grand Ave.
BLDG C, Ste 213
Santa Ana, CA 92705

Phone

(714) 567-7628

Fax

(714) 567-7633

NPI assigned

Mar 19, 2021

Last updated

Mar 19, 2021By the provider in NPPES

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

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1811573975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13002 SHREVE RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906023567",
            "telephone_number": "626-378-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S. GRAND AVE.",
            "address_2": "BLDG C, STE 213",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-567-7628",
            "fax_number": "714-567-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN MARTIN",
        "first_name": "JERRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Antonio Medical Center Inc.
• San Dieguito Anesthesiology Medical Group, Inc.
• San Gabriel Anesthesia Associates, PC
• San Martin Deporres Medical Group
• San Martin Deporres Medical Group of Santa Ana
• Nazanin Sanaei, MD
• Sanavida Medical Group,Inc. (Sanavida Santa Ana)
• Anna Christina Sanches Marques de Lima
• Hector Sanchez Ayala
• Laura Sanchez de Franco

• Case Manager/Care Coordinator in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.