DR. FREDERICK HAROLD MARTIN JR. (NPI# 1972680510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972680510 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK HAROLD MARTIN JR. |
| Credential | PSY.D. |
| Practice Address |
11301 Wilshire Blvd 116b Los Angeles CA 90073-1003 |
| Mailing Address |
6084 Armitos Dr Camarillo CA 93012-9368 |
| Practice Telephone | 3104783711 |
| Mailing Telephone | 3104668018 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
B1-0000500 | DE | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184869356 | Frederick Arthur Martin | Psychologist | 1232 Mill Way, Stockton, CA 95209-4368 | 2008-12-02 |
| 1134339294 | Frederick Ellis Martin IIi | Dentist | 1709 Colley Ave Ste 203, Norfolk, VA 23517-1675 | 2007-05-23 |
| 1912948803 | Frederick Robert Martin | Emergency Medicine | 6051 Highway 49, Hattiesburg, MS 39401-7200 | 2006-06-09 |
| 1164417713 | Frederick A Martin | Family Medicine | 1958 W State St, Bristol, TN 37620-1940 | 2005-09-20 |
| 1245236496 | Frederick Warren Martin | Optometrist | 467 Sunset Trl, Jellico, TN 37762-2709 | 2005-06-22 |
| 1164501011 | Frederick W Martin | Obstetrics & Gynecology | 109 Professional Pl, Carrollton, GA 30117-3862 | 2006-11-03 |
| Street Address |
11301 WILSHIRE BLVD 116B |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90073-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739043 | Mark S Horng | Internal Medicine | 11301 Wilshire Blvd, 10-c-1, Los Angeles, CA 90073-1003 | 2005-06-09 |
| 1720685944 | Sara Magdalin | Dietitian, Registered | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2020-10-01 |
| 1336750223 | Nathalie Esther Halajian | Student in an Organized Health Care Education/Training Program | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2020-08-13 |
| 1811508344 | Hillary Xanthe Enclade | Speech-Language Pathologist | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2020-08-10 |
| 1356950919 | Maren Abromowitz | Registered Nurse | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2020-07-29 |
| 1285243030 | Alyson Prince Shittu | Registered Nurse | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2020-07-28 |
| 1124637087 | Soheil Kooraki | Student in an Organized Health Care Education/Training Program | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2020-07-27 |
| 1376152371 | Ynez Sabio | Registered Nurse | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2020-07-24 |
| 1154949972 | Leah Effron | Registered Nurse | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2020-07-08 |
| 1972120988 | Justin Man Truong | Pharmacist | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1184285090 | Marcela Leticia Orellana Galvez | Podiatrist | 11301 Wilshire Blvd Bldg 500, Dept of Surgery, #10-h-2, Los Angeles, CA 90073 | 2019-06-23 |
| 1508310996 | Jennifer Maravola | Student in an Organized Health Care Education/Training Program | 11303 Wilshire Bl. Bdg 116, New Direction Inc., Los Angeles, CA 90073 | 2016-08-15 |
| 1861859480 | Michael Fisher | Student in an Organized Health Care Education/Training Program | 11303 Willshire Blv., V.a. Building 116, Los Angeles, CA 90073 | 2016-01-27 |
| 1629453295 | Christopher Denzel Lewis | Student in an Organized Health Care Education/Training Program | 11303 Wilshire Blvd., Va Bldg. 116, Los Angeles, CA 90073 | 2015-07-24 |
| 1689089179 | Rachel Stannus | Social Worker | 11303 Wilshire Blvd, Bldg116, Los Angeles, CA 90073 | 2014-06-24 |
| 1215355433 | Michael Francis Zito | Psychiatry & Neurology | 11301 Wilshire Blvd Bldg 210a, Los Angeles, CA 90073 | 2014-04-03 |
| 1831523901 | Sarah Arensman Miller | Psychologist | 11301 Wilshire Blvd. Bldg 256, Rm 106a, Va West Los Angeles (116b), Los Angeles, CA 90073 | 2013-08-26 |
| 1134447733 | Stuart Thomas Yee | Physical Medicine & Rehabilitation | 11301 Wilshire Blvd. Mail Code 117, Los Angeles, CA 90073 | 2010-05-07 |
| 1306177654 | Pete Petriashvili | Student in an Organized Health Care Education/Training Program | 11301 Wilshire Blvd, Building 500, Room 4455, Los Angeles, CA 90073 | 2010-01-27 |
| Find all providers in zip 90073 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1679189377 | Dr. Sandra Jeanne Brim, Ph.d. | Psychologist | 11601 Gorham Ave Apt 1, Los Angeles, CA 90049-4738 | 2020-09-17 |
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1538787874 | Molly Burrets | Psychologist | 5619 N Figueroa St Apt 219, Los Angeles, CA 90042-4979 | 2020-07-13 |
| 1770100737 | Mary Carde | Psychologist | 1572 Ensley Ave, Los Angeles, CA 90024-5325 | 2020-06-25 |
| 1134745193 | Bloom Psychology, Inc. | Psychologist | 3800 Barham Blvd Ste 420, Los Angeles, CA 90068-1042 | 2020-06-24 |
| 1639799406 | Joseph Aguayo | Psychologist | 11849 W Olympic Blvd Ste 202, Los Angeles, CA 90064-1148 | 2020-04-22 |
| 1912536020 | Butterflly Health, Inc. | Psychologist | 3530 Wilshire Blvd Ste 1650, Los Angeles, CA 90010-2371 | 2020-04-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90073 |
Please comment or provide details below to improve the information on DR. FREDERICK HAROLD MARTIN JR..
| 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.