MARTIN SETH RODRIGUEZ (NPI# 1558825331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558825331 |
| Entity Type | Individual |
| Full Name | MARTIN SETH RODRIGUEZ |
| Practice Address |
1481 Windsor Dr San Bernardino CA 92404-5416 |
| Mailing Address |
1729 S Conlon Ave West Covina CA 91790-4402 |
| Practice Telephone | 9093616470 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 167G00000X | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144628397 | Martin Rodriguez | Counselor | 110 Martin Luther Drive, Jersey City, NJ 07305 | 2014-12-19 |
| 1932763455 | Martin Rodriguez | Licensed Practical Nurse | 150 Spring St, Morrison, CO 80465-2532 | 2019-04-30 |
| 1538285242 | Martin M Rodriguez | Occupational Therapist | 19401 S Vermont Ave, Suite A-200, Torrance, CA 90502-1029 | 2007-03-22 |
| 1013977222 | Martin Rodriguez | Internal Medicine | 619 19th St S, Birmingham, AL 35249-1900 | 2006-03-23 |
| Street Address |
1481 WINDSOR DR |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-5416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104950310 | Heather Rene Brown | Counselor | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2007-03-16 |
| 1578170650 | Nancy Elizabeth Ashcraft | Licensed Vocational Nurse | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-09-23 |
| 1598370918 | Jesse Daniel Rodriguez | Case Manager/Care Coordinator | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-09-11 |
| 1619589140 | Michelle Eileen Koperski | Peer Specialist | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-08-17 |
| 1508480583 | Richard Anthony Delarosa | Counselor | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-06-04 |
| 1255955324 | Brenda A Aguayo | Counselor | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-06-03 |
| 1053935353 | Divina Elise Perez | Counselor | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-06-02 |
| 1538782917 | Rochelle Renee Knight | Licensed Vocational Nurse | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-05-20 |
| 1609497098 | Martin E Torres | Licensed Vocational Nurse | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-04-27 |
| 1508493495 | Ebony Rene Venable | Licensed Psychiatric Technician | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1811172703 | Jasmine Shawcover | Licensed Psychiatric Technician | 1480 W Edgehill Rd, San Bernardino, CA 92405-5105 | 2008-01-09 |
| 1508493495 | Ebony Rene Venable | Licensed Psychiatric Technician | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-03-23 |
| 1265070585 | Maria Saad | Licensed Psychiatric Technician | 2080 S E St, San Bernardino, CA 92408-2773 | 2019-12-17 |
| 1750929410 | Nicholas Anthony West | Licensed Psychiatric Technician | 2080 S E St, San Bernardino, CA 92408-2773 | 2019-12-12 |
| 1578120762 | Jose Alberto Montiel-flores | Licensed Psychiatric Technician | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2019-05-22 |
| 1003479320 | Manny Brice Kelly | Licensed Psychiatric Technician | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2019-04-22 |
| 1609358571 | Autumne Lachisa Williams | Licensed Psychiatric Technician | 2080 S E St, San Bernardino, CA 92408-2773 | 2018-09-06 |
| 1346791407 | Daniel Ludd | Licensed Psychiatric Technician | 2080 S E St, San Bernardino, CA 92408-2773 | 2016-10-24 |
| 1518416981 | Carlos Escobar | Licensed Psychiatric Technician | 303 E Vanderbilt Way, San Bernardino, CA 92415-0026 | 2016-09-27 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
Please comment or provide details below to improve the information on MARTIN SETH RODRIGUEZ.
| 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.