CAROLYN MOSS MARTINEZ (NPI# 1609101997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609101997 |
| Entity Type | Individual |
| Full Name | CAROLYN MOSS MARTINEZ |
| Credential | FNP |
| Practice Address |
1016 Outer Rd San Diego CA 92154 |
| Mailing Address |
Po Box 459 Imperial Beach CA 91933-0459 |
| Practice Telephone | 6194293733 |
| Mailing Telephone | 6194293733 |
| Mailing Fax Number | 6194293733 |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2018-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
22031 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508109992 | Carolyn Elizabeth Martinez | Behavioral Analyst | 3723 Gurley Rd, Jacksonville, FL 32277-2012 | 2013-04-03 |
| 1639646797 | Carolyn Marie Martinez | Counselor | 327 Okanogan Ave, Wenatchee, WA 98801 | 2018-10-26 |
| 1780187997 | Carolyn Noel Martinez | Behavior Technician | 1901 Royal Oaks Dr Ste 201, Sacramento, CA 95815-4235 | 2018-03-14 |
| 1750733374 | Carolyn L. Martinez | Emergency Medicine | 410 W 10th Ave, Columbus, OH 43210-1240 | 2016-07-07 |
| 1508259045 | Carolyn Martinez | Counselor | 120 Maple St, Springfield, MA 01103-2203 | 2015-03-09 |
| Street Address |
1016 OUTER RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801015193 | L Joanne Mooney | Obstetrics & Gynecology | 1016 Outer Rd, San Diego, CA 92154-1351 | 2007-04-24 |
| 1336598184 | Sheeren Liao Masifi | Family Medicine | 1016 Outer Rd, San Diego, CA 92154-1351 | 2016-06-11 |
| 1922445485 | Anne Chmilewski | Family Medicine | 1016 Outer Rd, San Diego, CA 92154-1351 | 2013-05-23 |
| 1942590815 | Francine M Martinez | Psychologist | 1016 Outer Rd, San Diego, CA 92154-1351 | 2011-04-13 |
| 1215246996 | Imperial Beach Community Clinic | Clinic/Center | 1016 Outer Rd, San Diego, CA 92154-1351 | 2010-09-29 |
| 1124288873 | Courtney Summers | Family Medicine | 1016 Outer Rd, San Diego, CA 92154-1351 | 2008-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952922783 | Rosalie Ramos Gayares | Licensed Vocational Nurse | Del Sur Crisis Center, San Diego, CA 92154 | 2020-05-04 |
| 1720625791 | Michelle Lynn Mason | Counselor | 892 27th Street, San Diego, CA 92154 | 2019-12-09 |
| 1538604020 | Victor Luis Assid | Counselor | 3069 Camino Aleta, San Diego, CA 92154 | 2016-12-20 |
| 1710346275 | Abba Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5640 Surfrider Way #255, San Diego, CA 92154 | 2016-02-12 |
| 1851788962 | Danielle D. Weisman | Psychologist | 9335 Airway Rd Ste 202, San Diego, CA 92154 | 2015-04-16 |
| 1215321955 | Carolina Gonzalez-garcia | Marriage & Family Therapist | 3085 Beyer Blvd Ste A103, San Diego, CA 92154 | 2015-03-19 |
| 1285042945 | Maricela Ochoa | Pharmacist | 710 Dennery Road, San Diego, CA 92154 | 2014-07-25 |
| 1376975300 | Shatori R Dearman | Social Worker | 5143 Bay Crest Ln, San Diego, CA 92154 | 2013-08-01 |
| 1912257940 | Bj's Trading LLC | Durable Medical Equipment & Medical Supplies | 9668 Heinrich Hertz Drive Suite G, San Diego, CA 92154 | 2012-09-18 |
| 1881997625 | Tywila Reeves Bivens | Nurse's Aide | 976 Picador Blvd, San Diego, CA 92154 | 2010-12-17 |
| Find all providers in zip 92154 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203097 | Rebecca Dolores Garcia | Nurse Practitioner | 2440 Curlew St, San Diego, CA 92101-1327 | 2020-10-20 |
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1083226245 | Allison Floyd | Nurse Practitioner | 3652 Texas St, San Diego, CA 92104-4044 | 2020-08-19 |
| 1386255248 | Helen Hyeyoung Hong | Nurse Practitioner | 5140 Caminito Exquisito, San Diego, CA 92130-2852 | 2020-08-13 |
| 1134747595 | Dawn Elyse Rose | Nurse Practitioner | 8260 Mira Mesa Blvd Ste A, San Diego, CA 92126-2662 | 2020-07-10 |
| 1982232591 | John Meier | Nurse Practitioner | 3745 Riviera Dr Apt 10, San Diego, CA 92109-6661 | 2020-03-30 |
| 1013543008 | Alex Choi Mara | Nurse Practitioner | 5248 Zephyr Ln Unit 24, San Diego, CA 92120-2749 | 2020-03-21 |
| 1669005021 | Katlyn Ann Hartman | Nurse Practitioner | 1951 4th Ave, San Diego, CA 92101-2374 | 2020-02-13 |
| 1245876101 | Katherine Baber | Nurse Practitioner | 3671 Fifth Ave, San Diego, CA 92103-4218 | 2019-11-25 |
| 1922644095 | Taiko Harris | Nurse Practitioner | 13592 Bolero Way, San Diego, CA 92130-7006 | 2019-11-22 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.