Philip Gustave Martin, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

AO45448 Issued in CA

Practice address

3432 Gurnard Ave
San Pedro, CA 90732-4716

Phone

(310) 938-5245

NPI assigned

Mar 18, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centinela Freeman Emergency Medical Associates

  • Emergency Medicine Physician
  • Inglewood, CA
  • NPI 1962539684
  NPD (past)
• Freeman Emergency Physicians Medical Group

  • Emergency Medicine Physician
  • Inglewood, CA
  • NPI 1912000936
  NPD (past)
• Max Franklin Lebow, a Medical Corporation

  dba Emergency Physician Services Medical Assoicates

  • Emergency Medicine Physician
  • Inglewood, CA
  • NPI 1043255813
  NPD (past)

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1932370947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 GURNARD AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324716",
            "telephone_number": "310-938-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 GURNARD AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324716",
            "telephone_number": "310-938-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PHILIP",
        "middle_name": "GUSTAVE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "AO45448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Martin
• David R Martin, D.D.S.
• Elmer Garnel Martin, DMD
• Jazmyne Martin
• Linda Carrie Martin, MEDICAL SKIN CARE SP
• Alexia Ray Martinez
• Antonio Ramon Martinez
• Blandy Martinez
• Luz E Martinez
• Melissa Renee Martinez, M.A.

• General Practice Physician in San Pedro, CA
• Providers in San Pedro, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.