Active NPI
Marta E San Martin, RPH
- Pharmacotherapy Pharmacist
- Alta Loma, CA
National Provider Identifier
1619255239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 43338
- Practice address
- 9843 Chesapeake Dr
Alta Loma, CA 91701-5956 - Phone
- (909) 527-4020
- Fax
- (909) 527-4020
- NPI assigned
- Jul 31, 2011
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 43338 | CA | Primary |
Addresses
Primary practice location
9843 Chesapeake Dr
Alta Loma, CA 91701-5956
Mailing address
9843 Chesapeake Dr
Alta Loma, CA 91701-5956
Phone (909) 527-4020
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43338 | CA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312070400000",
"number": "1619255239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9843 CHESAPEAKE DR",
"city": "ALTA LOMA",
"state": "CA",
"postal_code": "917015956",
"telephone_number": "909-527-4020",
"fax_number": "909-527-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9843 CHESAPEAKE DR",
"city": "ALTA LOMA",
"state": "CA",
"postal_code": "917015956",
"telephone_number": "909-527-4020",
"fax_number": "909-527-4020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAN MARTIN",
"first_name": "MARTA",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-31",
"last_updated": "2011-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "43338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alta Loma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.