| NPI | 1275580680 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-05-30 |
| Last Updated | 2019-02-20 |
| Mailing Address | 19963 Walker Basin Rd Caliente, CA 93518-4124 United States Phone: (661) 867-1100 📍 View Map |
| Primary Practice Address | 6425 Lynch Canyon Dr Lake Isabella, CA 93240-9726 United States Phone: (760) 379-8630 | Fax: (760) 379-7658 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CA | 00G617630 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207P00000X – Emergency Medicine | CA | G61763 |
| Yes | 207R00000X – Internal Medicine | CA | G61763 |
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About NPI 1275580680
Phillip Allan Martin MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1275580680. The primary specialty listed is Internal Medicine. The provider is located in Lake Isabella, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1275580680?
NPI 1275580680 belongs to Phillip Allan Martin MD, a Internal Medicine in Lake Isabella, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1275580680 active?
The current status of NPI 1275580680 in the NPPES registry is Active. The record was last updated on 2019-02-20.
What specialty is NPI 1275580680?
NPI 1275580680 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1275580680?
You can verify NPI 1275580680 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1275580680?
The primary practice address on file for NPI 1275580680 is 6425 Lynch Canyon Dr, Lake Isabella, CA 93240-9726. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1275580680 issued?
NPI 1275580680 was first issued (enumerated) on 2006-05-30. The NPPES record was last updated on 2019-02-20.
Practice Location Map
Phillip Allan Martin is located at 6425 Lynch Canyon Dr, Lake Isabella, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Phillip Allan Martin. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1275580680. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Emergency Medicine | G61763 | CA |
| Internal Medicine | G61763 | CA |