Alexis A. Martin, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G24871 Issued in CA

Practice address

7080 Hollywood Blvd.
Suite 804
Los Angeles, CA 90028

Phone

(323) 285-5300

Fax

(323) 463-4000

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Alex Martin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388361600000",
    "number": "1174746259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7080 HOLLYWOOD BLVD.",
            "address_2": "SUITE 804",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90028",
            "telephone_number": "323-285-5300",
            "fax_number": "323-463-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7080 HOLLYWOOD BLVD.",
            "address_2": "SUITE 804",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90028",
            "telephone_number": "323-285-5300",
            "fax_number": "323-463-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ALEXIS",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G24087",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G24871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "MARTIN",
            "prefix": "MR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Selma Martin-Flores
• Maria Martin-Hernandez
• Ilona Martin-Munoz
• Pamela Michelle Martin-Polk, OTRL
• Adrian Martin
• Alexis Sable-Maria Martin
• Alisha Martin
• Andrea Michelle Martin, OTR
• Angel Martin
• Blanca E. Martin

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.