Phillip Allan Martin, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G61763 Issued in CA

Practice address

6425 Lynch Canyon Dr
Lake Isabella, CA 93240-9726

Phone

(760) 379-8630

Fax

(760) 379-7658

NPI assigned

May 30, 2006

Last updated

Feb 20, 2019By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thuong Duy Vo, MD Inc.

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  • NPI 1841680493

  Multi-Specialty

  Medicare reassignment NPD
• California Em-I Medical Services, a Medical Corporation

  • Emergency Medicine Physician
  • Lake Isabella, CA
  • NPI 1053360156

  Multi-Specialty

  NPD (past)
• Chase Dennis Emergency Medical Group Inc

  • Emergency Medicine Physician
  • Santa Rosa, CA
  • NPI 1033152350

  Multi-Specialty

  NPD (past)
• Intercare Medical Group, Inc.

  • Family Medicine Physician
  • Pleasanton, CA
  • NPI 1972821494

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1275580680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19963 WALKER BASIN RD",
            "city": "CALIENTE",
            "state": "CA",
            "postal_code": "935184124",
            "telephone_number": "661-867-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 LYNCH CANYON DR",
            "city": "LAKE ISABELLA",
            "state": "CA",
            "postal_code": "932409726",
            "telephone_number": "760-379-8630",
            "fax_number": "760-379-7658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6412 Laurel Ave",
            "address_2": "Mountain Mesa",
            "address_purpose": "LOCATION",
            "city": "Lake Isabella",
            "state": "CA",
            "postal_code": "932409529",
            "country_code": "US",
            "telephone_number": "760-379-2681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PHILLIP",
        "middle_name": "ALLAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G61763",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G61763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G617630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail Teresa Lindblom
• Amanda Linn
• Sara Lobre, RN
• Christina Lynn Luton
• Jonathan Allison Magarett
• Blanca Martinez-Avila
• Maddison Lynette McMullen
• Rochelle Votaw Mendia
• Heather Alldredge Menzel
• Julissa Meza

• Internal Medicine Physician in Lake Isabella, CA
• Providers in Lake Isabella, 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 Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.