Linda Carrie Martin, MEDICAL SKIN CARE SP

Primary specialty

SpecialistTaxonomy code 174400000X

License

Z10168 Issued in CA

Practice address

1350 W 6TH St
San Pedro, CA 90732-3544

Phone

(310) 308-1695

Fax

(206) 309-9105

NPI assigned

Sep 29, 2009

Last updated

Sep 29, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1114251725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 W 6TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323544",
            "telephone_number": "310-308-1695",
            "fax_number": "206-309-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W 6TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323544",
            "telephone_number": "310-308-1695",
            "fax_number": "206-309-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LINDA",
        "middle_name": "CARRIE",
        "name_prefix": "Ms.",
        "credential": "MEDICAL SKIN CARE SP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "Z10168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Marshall, O.D.
• Daniel Martin
• David R Martin, D.D.S.
• Elmer Garnel Martin, DMD
• Jazmyne Martin
• Philip Gustave Martin, M.D.
• Alexia Ray Martinez
• Antonio Ramon Martinez
• Blandy Martinez
• Luz E Martinez

• Specialist in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.