Mary E. Hartman, M.D., Inc.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

G45846 Issued in CA

Legal business name

MARY E. HARTMAN, M.D., INC.

Practice address

5401 Norris Canyon Rd
Suite 310
San Ramon, CA 94583-5409

Phone

(925) 277-1132

Fax

(925) 277-1225

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Mary E. Hartman, M.D.

Title

Ceo

Phone

(925) 277-1132

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851324883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 NORRIS CANYON RD",
            "address_2": "SUITE 310",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835409",
            "telephone_number": "925-277-1132",
            "fax_number": "925-277-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 NORRIS CANYON RD",
            "address_2": "SUITE 310",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835409",
            "telephone_number": "925-277-1132",
            "fax_number": "925-277-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY E. HARTMAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-277-1132",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "G45846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1437156684",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erly Stephanie Martinez
• Karena Esperanza Martinez
• Romer Matienzo Martinez
• Dimple K.a. Marwaha, DPM
• Jatinder Pal Singh Marwaha, M.D.
• Divina Masaquel-Santiago, NURSE PRACTITIONER
• Patricia Suzanne Maska, M.D.
• Karina Masoian
• Taylour Mason
• Asma Masood

• MOHS-Micrographic Surgery Physician in San Ramon, CA
• Providers in San Ramon, CA by specialty
• MOHS-Micrographic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.