Individual provider Active NPI

David A Martinez, PH.D.

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1962868653
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY27559 Issued in CA
Practice address
2130 Fulton St
Usf School of Nursing and Health Professions
San Francisco, CA 94117-1080
Phone
(415) 422-4247
NPI assigned
Jan 11, 2016
Last updated
Jan 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY27559 CA Primary

Addresses

Primary practice location

2130 Fulton St
Usf School of Nursing and Health Professions
San Francisco, CA 94117-1080

Mailing address

2130 Fulton St
Usf School of Nursing and Health Professions
San Francisco, CA 94117-1080
Phone (415) 422-4247

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY27559CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1962868653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 FULTON ST",
            "address_2": "USF SCHOOL OF NURSING AND HEALTH PROFESSIONS",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171080",
            "telephone_number": "415-422-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 FULTON ST",
            "address_2": "USF SCHOOL OF NURSING AND HEALTH PROFESSIONS",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171080",
            "telephone_number": "415-422-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.