Deo Victor Martin, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

47284 Issued in CA

Practice address

601 12TH St
Oakland, CA 94607-3885

Phone

(415) 772-7000

NPI assigned

Jun 8, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1902473804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 KIRKWOOD AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941242110",
            "telephone_number": "415-378-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 12TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073885",
            "telephone_number": "415-772-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DEO",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-08",
        "last_updated": "2022-08-12",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "47284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.blueshieldca.com/home",
            "affiliation": "N",
            "endpointDescription": "https://www.blueshieldca.com/home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "http://www.blueshieldca.com",
            "address_1": "601 12th St",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946073885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alea Martin
• Belinda Niko Martin, LMFT
• Carly Martin
• Coelise H Martin
• David Martin
• Dorea E Martin, M.D.
• Gail E. Martin, MD
• Jacob Jeffrey Martin
• Jeffrey Martin, MD
• Jenny Anne Martin, NP

• Pharmacist in Oakland, CA
• Providers in Oakland, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.