Dr Gerardo B. Martin, Inc a Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A100776 Issued in CA

Legal business name

DR GERARDO B. MARTIN, INC A PROFESSIONAL CORPORATION

Practice address

2299 N Indian Canyon Dr
Palm Springs, CA 92262-3023

Phone

(760) 325-9237

NPI assigned

Jun 18, 2012

Organization subpart

No

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

Authorized official

Name

Gerardo B Martin, MDNPI 1295925360

Title

President

Phone

(619) 471-4372

Specialties & licenses 1

Addresses

Practitioners 1

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

• Gerardo Burgos Martin, MD

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1295925360
  NPD Authorized official

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1679836464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2783 SILVER OAK CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919142655",
            "telephone_number": "619-471-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 N INDIAN CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922623023",
            "telephone_number": "760-325-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GERARDO B. MARTIN, INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-471-4372",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A100776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.