Organization Active NPI

Terrin E. Martin, M.D., a Medical Corp

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1093974909
Registry record updated Feb 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A99078 Issued in CA
Legal business name
TERRIN E. MARTIN, M.D., A MEDICAL CORP
Practice address
1411 N Detroit St
#103
Los Angeles, CA 90046-4488
Phone
(310) 482-8550
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2012

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

Authorized official

Name
Terrin E Martin, M.D.NPI 1295921229
Title
President
Phone
(310) 482-8550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X A99078 CA Primary

Addresses

Primary practice location

1411 N Detroit St
#103
Los Angeles, CA 90046-4488

Mailing address

1411 N Detroit St
#103
Los Angeles, CA 90046-4488
Phone (310) 482-8550

Other identifiers 1

IdentifierTypeStateIssuer
A99078OtherCASTATE LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328400000000",
    "number": "1093974909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N DETROIT ST",
            "address_2": "#103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900464488",
            "telephone_number": "310-482-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N DETROIT ST",
            "address_2": "#103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900464488",
            "telephone_number": "310-482-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRIN E. MARTIN, M.D., A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2012-02-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TERRIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-482-8550",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A99078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A99078",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2012; 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.