Martin J. Collen M.D. Inc.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

00G210320 Issued in CA

Legal business name

MARTIN J. COLLEN M.D. INC.

Practice address

6647 Hawarden Dr
Riverside, CA 92506-5111

Phone

(951) 203-1538

Fax

(951) 789-7610

NPI assigned

Jun 18, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Roberta J Collen

Title

Office Administrator

Phone

(951) 271-2237

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin Jay Collen, M.D.

  • Gastroenterology Physician
  • Wildomar, CA
  • NPI 1578659249
  NPD (past)

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1679700579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 INDIANA AVE STE G",
            "address_2": "PMB 81",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925044500",
            "telephone_number": "951-891-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6647 HAWARDEN DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925065111",
            "telephone_number": "951-203-1538",
            "fax_number": "951-789-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN J. COLLEN M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "COLLEN",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "951-271-2237",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "00G210320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila L Marshall
• Karen Ann Marshalleck
• Reynalda Martel-Cazares, M.D.
• Taylor Martin del Campo
• Yunuen Martin del Campo
• Martin Luther King High School
• Renee Martin-Thornton, PH.D, MSN/MBA, RN
• Angela D. Martin, MD
• Antonio D Martin
• Bennett Jay Martin, MD

• Gastroenterology Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.