DR. PHILIP GUSTAVE MARTIN (NPI# 1932370947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932370947 |
| Entity Type | Individual |
| Full Name | DR. PHILIP GUSTAVE MARTIN |
| Credential | M.D. |
| Practice Address |
3432 Gurnard Ave San Pedro CA 90732-4716 |
| Practice Telephone | 3109385245 |
| Mailing Telephone | 3109385245 |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | AO45448 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609145945 | Philip Ross Martin Jr. | Obstetrics & Gynecology | 104 Fleet Landing Blvd, Atlantic Beach, FL 32233-4585 | 2011-12-15 |
| 1619430618 | Philip Paul Martin | Pharmacist | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2019-04-08 |
| 1477946077 | Philip Martin | Pharmacist | 10595 N Michigan Rd, Carmel, IN 46032-9685 | 2015-03-06 |
| 1194856328 | Philip Dean Martin | Specialist/Technologist, Other | 2000 Church St, Nashville, TN 37236-0001 | 2007-03-08 |
| 1124168042 | Philip L Martin | Specialist | 2801 Blue Ridge Rd, Suite 200, Raleigh, NC 27607-6474 | 2007-02-08 |
| 1245308329 | Philip Eugene Martin | Family Medicine | 6815 Hilltop Rd, Ste 100, Shawnee, KS 66226 | 2006-11-30 |
| 1336237239 | Philip L Martin | Otolaryngology | 11144 Tesson Ferry Rd, #205, St Louis, MO 63123 | 2006-10-10 |
| 1871684878 | Philip Harry Martin | Dentist | 6130 Nieman Rd, Shawnee, KS 66203-2940 | 2006-09-27 |
| 1609885557 | Philip Joseph Martin | Anesthesiology | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2006-08-07 |
| 1366494148 | Philip J Martin | Psychiatry & Neurology | 3102 East Highland Ave, Patton, CA 92369 | 2006-05-17 |
| Street Address |
3432 GURNARD AVE |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90732-4716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771241 | Alicia Avila | Student in an Organized Health Care Education/Training Program | 2227 Blue Butterfly Way, #7, San Pedro, CA 90732 | 2020-08-24 |
| 1619500543 | Udana Harris | Registered Nurse | 1300 West 7th Street, Obhc Unit, San Pedro, CA 90732 | 2020-02-19 |
| 1861042301 | Patricia Elaine Moses | Technician | 106 N. Western Ave Unit 102, San Pedro, CA 90732 | 2019-09-17 |
| 1629627393 | Antonio Ramon Martinez | Technician | 3141 Blue Butterfly Unit 66, San Pedro, CA 90732 | 2019-09-05 |
| 1487207700 | Victoria A. Shook, D.d.s., A Professional Corp. | Dentist | 28138 S. Western Ave., San Pedro, CA 90732 | 2019-07-17 |
| 1144566563 | Shaun E Chandran M D Inc | Orthopaedic Surgery | 1360 W 6th Street, Suite 305, San Pedro, CA 90732 | 2012-12-13 |
| 1316281280 | Jenny Luong | Physician Assistant | 1534 W. 25th St, San Pedro, CA 90732 | 2012-11-16 |
| 1033429519 | Eric M Feit Dpm Inc | Podiatrist | 1360 West 6th St., Suite 240, San Pedro, CA 90732 | 2010-10-18 |
| 1386808673 | Meysam Zaker | Dentist | 2470 S. Western Ave, San Pedro, Ca, CA 90732 | 2008-07-15 |
| 1376735340 | Francisco J. Correa, M.d., Inc | General Practice | 1350 W. 6th St, #3, San Pedro, CA 90732 | 2007-08-14 |
| Find all providers in zip 90732 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376735340 | Francisco J. Correa, M.d., Inc | General Practice | 1350 W. 6th St, #3, San Pedro, CA 90732 | 2007-08-14 |
| 1033288873 | Allen Elwood Mcdaniels | General Practice | 732 W Ninth Street, Suite 200, San Pedro, CA 90731-3634 | 2006-11-07 |
| 1063063451 | Total Body Advanced Medicine, Inc. | General Practice | 789 W 9th St, San Pedro, CA 90731-3601 | 2019-09-26 |
| 1255639522 | Mark Perez, M.d. | General Practice | 1366 W 7th St, Suite 4-b, San Pedro, CA 90732-3500 | 2011-03-10 |
| 1376744698 | Lewis Wong | General Practice | 1294 W 6th Street, #205, San Pedro, CA 90732 | 2007-05-31 |
| 1962629162 | Great Harbor Family & Sports Medicine, Inc | General Practice | 1294 W 6th St, Suite 200, San Pedro, CA 90731-2987 | 2007-04-19 |
| 1811970015 | Peter D. Sliskovich | General Practice | 1360 W 6th St, San Pedro, CA 90732-3514 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. PHILIP GUSTAVE MARTIN.
| 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.