Hidden Valley Surgical Med. Group, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G65456 Issued in CA

Legal business name

HIDDEN VALLEY SURGICAL MED. GROUP, INC.

Practice address

1955 Citracado Pkwy
Suite 200
Escondido, CA 92029-4110

Phone

(760) 489-1355

Fax

(760) 489-1392

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Franklin M. Martin, M.D.

Title

Ceo

Phone

(760) 489-1355

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1063579423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 CITRACADO PKWY",
            "address_2": "SUITE 200",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294110",
            "telephone_number": "760-489-1355",
            "fax_number": "760-489-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 CITRACADO PKWY",
            "address_2": "SUITE 200",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294110",
            "telephone_number": "760-489-1355",
            "fax_number": "760-489-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN VALLEY SURGICAL MED. GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-489-1355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G65456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Escondido, CA
• Providers in Escondido, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.