Active NPI
Manuel Leonardo Saint Martin, MD
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1649459611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 5167481
- Practice address
- 6033 W Century Blvd
Suite 1107
Los Angeles, CA 90045 - Phone
- (310) 641-7311
- Fax
- (310) 641-2501
- NPI assigned
- Oct 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 5167481 | NY | Primary |
| Psychiatry Physician | 2084P0800X | 20933 | OK | |
| Psychiatry Physician | 2084P0800X | G51685 | CA |
Addresses
Primary practice location
6033 W Century Blvd
Suite 1107
Los Angeles, CA 90045
Mailing address
PO Box 882228
Los Angeles, CA 90009
Phone (310) 641-7311
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G51685 | CA | MD | Psychiatry Physician |
| 5167481 | NY | MD | Psychiatry Physician |
| 20933 | OK | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1649459611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 882228",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90009",
"telephone_number": "310-641-7311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6033 W CENTURY BLVD",
"address_2": "SUITE 1107",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90045",
"telephone_number": "310-641-7311",
"fax_number": "310-641-2501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAINT MARTIN",
"first_name": "MANUEL",
"middle_name": "LEONARDO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-26",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "5167481",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "20933",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G51685",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Saint Christopher Hospice Inc
- Maureen Saint Georges Chaumet, M.D.
- Nyka Marie Saint Jean, APRN
- James David Saint John, MD
- Saint Mariam Home Health Care
- Saint Mary Ped Neurog Med
- Saint Mary Pediatric Neurology Medical Clinic, Inc
- Jessica Dominique Saint-Paul, PA
- Ryushi T. Saisho, MD
- Jessica Elena Saisi, M.S., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.