Martin E. Wareham

Primary specialty

SpecialistTaxonomy code 174400000X

License

G37934 Issued in CA

Legal business name

MARTIN E. WAREHAM

Practice address

301 S Moorpark Rd
Thousand Oaks, CA 91361-1008

Phone

(805) 379-9646

Fax

(805) 379-0611

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Martin E Wareham, M.D.

Title

Owner

Phone

(805) 379-9646

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1902002884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S MOORPARK RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611008",
            "telephone_number": "805-379-9646",
            "fax_number": "805-379-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MOORPARK RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611008",
            "telephone_number": "805-379-9646",
            "fax_number": "805-379-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN E. WAREHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "WAREHAM",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-379-9646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G37934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G37934",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Mars
• Camryn Renee Marshall
• Linda Margaret Marshall, R.A.S.
• Martin a Josephson, M.D.
• Martin a. Josephson, M.D.
• Daisy Lauren Martin, MD
• Elizabeth Stardust Martin, AMFT
• James Daniel Martin, LMFT
• Bianca Nicole Martinez, LMFT
• Bianca Noelle Martinez

• Specialist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.