Erica L Martin, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

248622 Issued in CA

Practice address

39155 Liberty St
Fremont, CA 94538-1513

Phone

(510) 361-6080

NPI assigned

May 6, 2022

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1679219240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24438 SANTA CLARA ST # 4464",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945441106",
            "telephone_number": "510-361-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39155 LIBERTY ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381513",
            "telephone_number": "510-361-6080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "84 W Santa Clara St Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951131811",
            "country_code": "US",
            "telephone_number": "408-283-9144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ERICA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "248622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Marie Marshall, RBT
• Olivia Marshall
• Colleen Anne Martin Chicoine, WHNP/CNM
• Yesica Martin Pablo
• Dianne C Martin, MD
• Jerry Vann Martin, M.D.
• Kemari Sanaa Krystal Martin
• Magaly Martin
• Taliva Donley Martin, M.D.
• Tiffany Monique Martin

• Licensed Vocational Nurse in Fremont, CA
• Providers in Fremont, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.