MR. GREGORY MARK MARTIN


Address: 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329
Phone: 5626222800

MR. GREGORY MARK MARTIN (NPI# 1255603296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255603296
Entity Type Individual
Full Name MR. GREGORY MARK MARTIN
Credential ANP
Practice Address 12900 Park Plaza Dr Ste 150
Cerritos
CA 90703-9329
Mailing Address 4475 Lime Straight St
Las Vegas
NV 89115-4218
Practice Telephone 5626222800
Mailing Telephone 7025014599
Enumeration Date 2012-02-07
Last Update Date 2014-08-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
APN00437 NV Physician Assistants & Advanced Practice Nursing Providers

Other Providers GREGORY MARTIN

NPI Name Taxonomy Address Enumeration
1295203172 Gregory Warren Martin Dentist 5530 Wisconsin Ave Ste 829, Chevy Chase, MD 20815-4401 2018-11-08
1912450891 Gregory Luis Martin Physical Therapy Assistant 4060 Fourth Ave Ste 206, San Diego, CA 92103-2120 2016-07-27
1114288875 Gregory Warren Martin Massage Therapist 4115 6th Ave, Tacoma, WA 98406 2012-05-30
1295979771 Gregory Albert Martin Counselor 466 South Skylane Drive, Durango, CO 81303 2009-04-28
1053509059 Gregory John Martin Counselor 64 Susie Wilson Rd, Essex Junction, VT 05452-2808 2007-10-04
1326107657 Gregory Edward Martin Internal Medicine 550s Mesa Hills Dr A4, El Paso, TX 79912-5758 2006-12-06
1891875423 Gregory S. Martin Obstetrics & Gynecology 1498 Jesse Jewell Pkwy., Ste. D, Gainesville, GA 30501-3874 2006-10-17
1588677082 Gregory Paul Martin Dentist 1210 Lancaster Drive, Champaign, IL 61821-7028 2006-08-14
1619995867 Gregory John Martin Family Medicine 1121 F St, Reedley, CA 93654-3028 2006-07-17
1194782771 Gregory D Martin Surgery 3338 Country Club Rd Ste M, Valdosta, GA 31605-1045 2006-04-27

Office Location

Street Address 12900 PARK PLAZA DR STE 150
City CERRITOS
State CA
Zip Code 90703-9329

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508868324 Angela Eng Jeong Pharmacist 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 2005-08-11
1073110607 Caremore Health Medical Partners West PC Internal Medicine 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 2020-10-06
1992356109 Sherry Jung Registered Nurse 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 2019-09-28
1902465412 Dawn Spann Nurse Practitioner 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 2019-06-08
1427510155 Rowena Cole Nurse Practitioner 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 2019-04-02
1770070781 Steve Yang Nurse Practitioner 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 2018-04-16
1669988812 Calina Ann Consolo Nurse Practitioner 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 2017-12-26
1174046981 Eric Francis Guenther-gleason Pharmacist 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 2017-07-24
1245768340 Maria Aurora Castellano Nurse Practitioner 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 2017-06-01
1801332242 Alyssa Flora Netto Rios Registered Nurse 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 2017-01-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952909582 Michael Wong Dental Corporation Dentist 11549 South Street, Cerritos, CA 90703 2020-10-15
1144837139 Essential California Ipa Inc. Health Maintenance Organization 1800 Studebaker Rd., 100, Cerritos, CA 90703 2020-09-24
1447868377 Auxilium Health Network, Inc. Health Maintenance Organization 18000 Studebaker Dr, Cerritos, CA 90703 2020-07-16
1154939098 Absolute Medical Partners, A Professional Medical Corporation Health Maintenance Organization 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 2020-07-16
1558906487 Vitruvian Care, Inc. Health Maintenance Organization 18000 Studebaker Road Suite 100, Cerritos, CA 90703 2019-11-14
1841843554 Ha Tran Tsai Dental Corporation Dentist 16466 Norwalk Boulevard, Cerritos, CA 90703 2019-07-22
1457828097 Angela Ofoegbu Registered Nurse 10733 Elgers St, Cerritos, CA 90703 2018-11-01
1689183352 Zeela G Diwa Occupational Therapist 12736 Palm Street, Cerritos, CA 90703 2017-09-26
1114446119 Cooper Lee Physical Therapist 18503 Noran Ave, Cerritos, CA 90703 2017-09-12
1295259141 Miyeon Vivienne Lee Nurse Practitioner 13337 South Street #158, Cerritos, CA 90703 2017-08-02
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033369657 Elaine Ybarra Nurse Practitioner 17215 Studebaker Rd Ste 320, Suite #300, Cerritos, CA 90703-2522 2008-09-19
1538709845 Katharine Greer Kent Nurse Practitioner 12900 Park Plaza Dr, Cerritos, CA 90703-9329 2020-01-14
1225692338 Catherine Marie Buddemeyer Nurse Practitioner 12898 Towne Center Dr, Cerritos, CA 90703-8546 2019-04-24
1669852166 Jocelyn Wang Nurse Practitioner 12898 Towne Center Dr, Cerritos, CA 90703-8546 2015-06-01
1740698430 Rashida Lee Nurse Practitioner 12898 Towne Center Dr, Cerritos, CA 90703-8546 2014-07-26
1740608637 Ingrid Morales Nurse Practitioner 12900 Park Plaza Dr, Cerritos, CA 90703-9329 2014-03-29
1124463286 Jacqueline Santuile Constantino Nurse Practitioner 12898 Towne Center Dr, Cerritos, CA 90703-8546 2013-05-02
1467739151 Rosalia Maribel Casapa Nurse Practitioner 12900 Park Plaza Dr, Suite 150, Cerritos, CA 90703-9329 2011-11-08
1174613624 Adriana Muniz Austin Nurse Practitioner 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 2006-10-13

Providers in the same taxonomy and state

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1407464522 Laura Bradigan Nurse Practitioner 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 2020-07-15
1538787031 Kelly Olcott Nurse Practitioner 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 2020-07-10
1629695440 Kelley Ibarra Nurse Practitioner 1613 Celeste Dr, Modesto, CA 95355-5039 2020-06-26
1497379333 Gloria Jean Campbell Nurse Practitioner 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 2020-06-06
1851913115 Lilly Fong Nurse Practitioner 15821 Square Top Ln, Fontana, CA 92336-4586 2020-05-09
1548880750 Sharkeiya Terrell Nurse Practitioner 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 2020-04-17
1730714007 Julissa Leonides Caraballo Nurse Practitioner 4044 Promontory St, San Diego, CA 92109-5334 2020-03-07
1194355404 Bethany Leda Donowho Nurse Practitioner 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 2020-01-26
1518507078 Rachel Saake Collar Nurse Practitioner 5100, 1000 Executive Pkwy, Oroville, CA 95966 2020-01-13
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Competitor

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City CERRITOS
Zip Code 90703

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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