David R Martin MD, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A62108 Issued in CA

Legal business name

DAVID R MARTIN MD, INC

Practice address

950 S Arroyo Pkwy
3Rd Floor Suite
Pasadena, CA 91105-3930

Phone

(626) 765-6405

Fax

(626) 765-6407

NPI assigned

Nov 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David R Martin, MD

Title

President

Phone

(626) 644-3283

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1982885125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S ARROYO PKWY",
            "address_2": "3RD FLOOR SUITE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053930",
            "telephone_number": "626-765-6405",
            "fax_number": "626-765-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S ARROYO PKWY",
            "address_2": "3RD FLOOR SUITE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053930",
            "telephone_number": "626-765-6405",
            "fax_number": "626-765-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R MARTIN MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-644-3283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A62108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.