Active NPI
F Shanee Martin
- Pediatrics Physician
- Vallejo, CA
National Provider Identifier
1962437350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A39595
- Practice address
- 2001 Springs Rd
Vallejo, CA 94591 - Phone
- (707) 648-7337
- Fax
- (707) 643-6907
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A39595 | CA | Primary |
Addresses
Primary practice location
2001 Springs Rd
Vallejo, CA 94591
Mailing address
2001 Springs Rd
Vallejo, CA 94591
Phone (707) 648-7337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A39595 | CA | MD | Pediatrics Physician |
Interoperability endpoints
- fmartin15380@hpmg.direct-ci.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962437350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 SPRINGS RD",
"city": "VALLEJO",
"state": "CA",
"postal_code": "94591",
"telephone_number": "707-648-7337",
"fax_number": "707-643-6907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 SPRINGS RD",
"city": "VALLEJO",
"state": "CA",
"postal_code": "94591",
"telephone_number": "707-648-7337",
"fax_number": "707-643-6907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "F SHANEE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A39595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.