BRANDON REY MARTINEZ MSN PMHNP-BC APRN NPI 1033757711

NPI Information

NPI: 1033757711
Provider Name: BRANDON REY MARTINEZ, MSN, PMHNP-BC, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
3911 SORRENTO VALLEY BLVD STE 130
SAN DIEGO, CA
ZIP 92121
Phone: (702) 526-7610
Get Directions

Brandon Rey Martinez, MSN, PMHNP-BC, APRN is a psychiatric/mental health nurse practitioner in San Diego, CA. Brandon Rey Martinez, MSN, PMHNP-BC, APRN NPI is 1033757711. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3911 SORRENTO VALLEY BLVD STE 130
SAN DIEGO, CA
ZIP 92121-457
Phone: (702) 526-7610

The NPI 1033757711 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/13/2019 and was last updated on 1/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	825008	NEVADA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95022290	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	825008	OTHER	NEVADA	NEVADA APRN LICENSE
2	95022290	OTHER	CALIFORNIA	CALIFORNIA NURSE PRACTITIONER AND NURSE PRACTITIONER FURNISHING/PRESCRIBING LIC.
3	CS29727	OTHER	NEVADA	NEVADA BOARD OF PHARMACY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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