David William Martin Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C31840 Issued in CA

Practice address

300 Utah Ave
Suite 150
South San Francisco, CA 94080-6800

Phone

(650) 873-1115

Fax

(650) 873-1010

NPI assigned

Jul 13, 2012

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1245585413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 UTAH AVE",
            "address_2": "SUITE 150",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940806800",
            "telephone_number": "650-873-1115",
            "fax_number": "650-873-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 UTAH AVE",
            "address_2": "SUITE 150",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940806800",
            "telephone_number": "650-873-1115",
            "fax_number": "650-873-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C31840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Mark, RD
• Virginia Aiken Marken, CRNA
• Alejandro Marquez
• Robert E. Marshall, MD
• Melissa Marsinko, PHARM.D.
• Derrick Martin Jr.
• Jean E. Martin, P.T.
• Lueni Masina
• Heidi Robin Maslen
• Carmella Mateo, DPT

• Internal Medicine Physician in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.