Active NPI
Martin M Nielsen MD a Med Corp
- Pulmonary Disease Physician
- Oceanside, CA
National Provider Identifier
1205860491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- G25528
- Legal business name
- MARTIN M NIELSEN MD A MED CORP
- Practice address
- 3231 Waring CT Ste L
Oceanside, CA 92056-4510 - Phone
- (760) 758-7474
- Fax
- (760) 758-7362
- NPI assigned
- Jul 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martin M. Nielsen, M.D.
- Title
- President
- Phone
- (760) 758-7474
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | G25528 | CA | Primary |
Addresses
Primary practice location
3231 Waring CT Ste L
Oceanside, CA 92056-4510
Mailing address
3231 Waring CT Ste L
Oceanside, CA 92056-4510
Phone (760) 758-7474
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G255280 | Medicaid | CA | |
| 00G255280 | Other | CA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441324800000",
"number": "1205860491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3231 WARING CT STE L",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564510",
"telephone_number": "760-758-7474",
"fax_number": "760-758-7362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 WARING CT STE L",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564510",
"telephone_number": "760-758-7474",
"fax_number": "760-758-7362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN M NIELSEN MD A MED CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2015-09-04",
"status": "A",
"authorized_official_last_name": "NIELSEN",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-758-7474",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "G25528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G255280",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G255280",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.