Healthcare Provider Details

I. General information

NPI: 1528907797
Provider Name (Legal Business Name): SASHA MARIE MARTELL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 W LEGION RD
BRAWLEY CA
92227-7780
US

IV. Provider business mailing address

1101 ROSAS ST
CALEXICO CA
92231-1961
US

V. Phone/Fax

Practice location:
  • Phone: 760-517-7845
  • Fax:
Mailing address:
  • Phone: 760-960-6581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95355169
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: