MARTIN C HOLT (NPI# 1417196098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417196098 |
| Entity Type | Individual |
| Full Name | MARTIN C HOLT |
| Credential | PA |
| Practice Address |
901 W Orangethorpe Ave Fullerton CA 92832-2826 |
| Mailing Address |
7439 La Palma Ave # 120 Buena Park CA 90620-2655 |
| Practice Telephone | 7144410411 |
| Practice Fax Number | 7144411824 |
| Mailing Telephone | 7144410411 |
| Mailing Fax Number | 7144411824 |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | PA13479 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PA CALIFORNIA LICENSE | PA13479 | 01 |
| Street Address |
901 W ORANGETHORPE AVE |
| City | FULLERTON |
| State | CA |
| Zip Code | 92832-2826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154469278 | Ees Medical Group | Obstetrics & Gynecology | 901 W Orangethorpe Ave, Fullerton, CA 92832-2826 | 2007-02-01 |
| 1205285079 | Jane Wu | Physician Assistant | 901 W Orangethorpe Ave, Fullerton, CA 92832-2826 | 2016-06-12 |
| 1295121077 | Susana Rangel | Nurse Practitioner | 901 W Orangethorpe Ave, Fullerton, CA 92832-2826 | 2015-04-08 |
| 1326385030 | North County Regional Health Foundation | Non-Pharmacy Dispensing Site | 901 W Orangethorpe Ave, Fullerton, CA 92832-2826 | 2013-01-15 |
| 1194974402 | North Orange County Regional Health Foundation | Family Medicine | 901 W Orangethorpe Ave, Fullerton, CA 92832-2826 | 2008-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932735669 | Diana Hernandez | Behavior Technician | 413 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2020-03-13 |
| 1942830013 | Karen Marie Winkle | Speech-Language Pathologist | 812 Lois Lane, Fullerton, CA 92832 | 2020-01-17 |
| 1578122487 | Andrea Arevalo | Behavior Technician | 713 Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-06-13 |
| 1275090193 | Madison Elizabeth Miller | Behavior Technician | 714 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-02-27 |
| 1528525862 | Samantha Rivas | Behavior Technician | 713 W Commonwealth Ave., Suite C, Fullerton, CA 92832 | 2019-02-22 |
| 1760948483 | Marcus Gerard Chavez | Behavioral Analyst | 713 West Commonwealth Suite A, Fullerton, U.S.A 92832 | 2019-02-19 |
| 1710443437 | Rolando Jimenez | Behavior Technician | 713 W. Commonwealth, Suite A, La Habra, CA 92832 | 2019-02-18 |
| 1659872919 | Anthony James Arneson | Marriage & Family Therapist | 120 N Lawrence, Fullerton, CA 92832 | 2018-02-22 |
| 1407302243 | Be Well Pharmacy Inc | Pharmacy | 105 N Lawrence Ave, Fullerton, CA 92832 | 2016-08-31 |
| 1871907972 | Edward Walls | Counselor | 771 W.orangethorpe Ave., Fullerton, CA 92832 | 2014-06-17 |
| Find all providers in zip 92832 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
| 1134380736 | Chul Y Hong | General Practice | 1910 Lexington Dr, Fullerton, CA 92835-3537 | 2008-06-17 |
| 1447297486 | Charles Klingsberg | General Practice | 1941 Yucca Ave, Fullerton, CA 92835-3313 | 2006-05-31 |
| 1295855815 | Son Hong Do | General Practice | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2007-03-29 |
| 1831154673 | Pushpa Gursahani | General Practice | 1024 Ferndale Ave, Fullerton, CA 92831 | 2006-04-17 |
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| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
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| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
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| 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.