Active NPI
Abigail Martin, R.PH
- Ambulatory Care Pharmacist
- Fontana, CA
National Provider Identifier
1316312002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 65036
- Practice address
- 7470 Cherry Ave Ste 111
Fontana, CA 92336-4272 - Phone
- (909) 281-3600
- Fax
- (909) 281-3610
- NPI assigned
- Dec 7, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 65036 | CA | Primary |
Addresses
Primary practice location
7470 Cherry Ave Ste 111
Fontana, CA 92336-4272
Mailing address
7470 Cherry Ave Ste 111
Fontana, CA 92336-4272
Phone (909) 281-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417349978 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vistamed Corp | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1316312002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7470 CHERRY AVE STE 111",
"city": "FONTANA",
"state": "CA",
"postal_code": "923364272",
"telephone_number": "909-281-3600",
"fax_number": "909-281-3610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7470 CHERRY AVE STE 111",
"city": "FONTANA",
"state": "CA",
"postal_code": "923364272",
"telephone_number": "909-281-3600",
"fax_number": "909-281-3610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ABIGAIL",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-07",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "CA",
"license": "65036",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417349978",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.