John J Martin, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G24101 Issued in CA

Practice address

4060 4TH Ave
Suite 310
San Diego, CA 92103-2116

Phone

(619) 297-4707

Fax

(619) 297-2448

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency and Acute Care Medical Corporation

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1437103942
  NPD (past)
• Genesis Healthcare Partners, PC

  • Non-Pharmacy Dispensing Site
  • Downey, CA
  • NPI 1134939713
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1023121969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33865",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921633865",
            "telephone_number": "858-888-7700",
            "fax_number": "858-888-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 4TH AVE",
            "address_2": "SUITE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032116",
            "telephone_number": "619-297-4707",
            "fax_number": "619-297-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G24101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN FOR GHP",
            "identifier": "BN261X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Martin
• Jennifer Martin, DPT
• Jennifer Marie Martin, LVN
• Jessica Allyssa Martin
• Joel Anthony Martin, PHARM.D., BCPS
• Joseph John Martin, M.D.
• Joy Anne Martin, PHD
• Joyce Anne Martin, PSYD
• Julie Wong Martin, MD
• June Martin, LCSW

• Urology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.