Richard Martin, M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

G43723 Issued in CA

Practice address

603 Crystal Springs Rd
Saint Helena, CA 94574-9668

Phone

(707) 963-0285

NPI assigned

Mar 24, 2015

Sex

Male

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1124412572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 CRYSTAL SPRINGS RD",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945749668",
            "telephone_number": "707-963-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 CRYSTAL SPRINGS RD",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945749668",
            "telephone_number": "707-963-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "G43723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy C Lyons, MD
• Dustin Manwill
• Padmaja Manyam, M.D.
• Paul J Marks, MD
• Ashley Marsh, PA-C
• Jose Mathews, M.D.
• Matthew R Hileman, O D a Profesional Corporation (St. Helena Optometry)
• Kimberly Mazzucco
• Biz Merry McIlmoyl
• Norma Medina, NP

• Occupational Medicine Physician in Saint Helena, CA
• Providers in Saint Helena, CA by specialty
• Occupational Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.