MR. THOMAS EUGENE MARTIN


Address: 36329 Saint Raphael Dr, Murrieta, CA 92562-8846
Phone: 9517644270

MR. THOMAS EUGENE MARTIN (NPI# 1073804084) 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) 1073804084
Entity Type Individual
Full Name MR. THOMAS EUGENE MARTIN
Credential IDC
Practice Address 36329 Saint Raphael Dr
Murrieta
CA 92562-8846
Practice Telephone 9517644270
Mailing Telephone 9517644270
Enumeration Date 2011-04-25
Last Update Date 2011-04-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
CA Other Service Providers

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1184899254 Thomas Ellsworth Martin Jr. Chiropractor 1020 N Providence Rd, Media, PA 19063-2101 2008-04-29
1356520647 Thomas Charles Martin Pediatrics 417 State St Ste 305, Bangor, ME 04401-6654 2007-11-02
1770634198 Thomas O. Martin Psychologist 5621 Savina Ave, Dayton, OH 45415-1155 2007-01-13
1760580575 Thomas Alan Martin Pharmacist 111 Benjamin Ct, Shelby, NC 28152-8181 2006-09-20
1023128493 Thomas Patrick Martin Emergency Medicine 1221 W Ironwood Dr Ste 102, Coeur D Alene, ID 83814-1402 2006-08-30

Office Location

Street Address 36329 SAINT RAPHAEL DR
City MURRIETA
State CA
Zip Code 92562-8846

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831709591 Brittney Schmidt Behavior Technician 25109 Hancock Avenue Suite C, Murrieta, CA 92562 2020-08-06
1518431410 Heather Marie Halper Behavioral Analyst 25190 Handcock Ave, Suite C, Murrieta, CA 92562 2019-01-14
1164992798 Tiffany L Lockhart Counselor 41780 Mcalby Ct, Murrieta, CA 92562 2018-11-27
1164992756 Jessica Gutierrez Specialist/Technologist 25102 Jefferson Ave Suite D, Murrieta, CA 92562 2018-11-27
1972080455 Tracy M Bronson Nurse Practitioner 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 2018-07-26
1023500279 Brittany Marie Ramirez Counselor 23824 Matador Way, Murrieta, CA 92562 2018-06-04
1053800573 Emily Kathryn Perrott Physical Therapist 24630 Washington Ave Ste 200, Murrieta, CA 92562 2018-05-10
1285151464 Dexter Villanueva Physical Therapist 40845 Engelmann Oak St., Murrieta, CA 92562 2017-08-28
1407371024 Elyaszadeh Levi Dental Corporation Dentist 40643 California Oaks Rd, Murrieta, CA 92562 2017-08-04
1023549037 Andre Cristian De Jesus Nurse Practitioner 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 2017-03-22
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306242292 Gregory Ryan Kite Military Health Care Provider 24323 Jackson Ave Apt 721, Murrieta, CA 92562-7905 2014-11-05
1760825467 Joshua Andrew Beard Military Health Care Provider 30949 Moonflower Ln, Murrieta, CA 92563-7952 2013-04-11
1588969109 Augustine Osegbe Osazuwa Military Health Care Provider 35485 Evening Glow Dr, Murrieta, CA 92563-7982 2011-01-12
1326222308 Jason L. Juarez Military Health Care Provider 40115 Buckwood Way, Murrieta, CA 92562-3816 2007-12-26
1336353754 Clarence Dean Conner Military Health Care Provider 41883 Dahlias Way, Murrieta, CA 92562-2231 2007-05-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1649879537 David Michael Soliani Military Health Care Provider Bld 4101 Stuart Mesa Road, Camp Pendleton, CA 92055-5584 2020-10-21
1801494182 Luis Alberto Necoechea Military Health Care Provider 1st Recon Bn Bas, Oceanside, CA 92055 2020-10-09
1770180648 Darius Lee Sean Woods Military Health Care Provider 6033 Sandy Shore Ct, San Diego, CA 92139-1014 2020-10-05
1174130744 Daniel Carrera Military Health Care Provider 2645 W Canyon Ave Apt 450, San Diego, CA 92123-4700 2020-09-28
1316551740 Kyle Bode Francis Military Health Care Provider 3149 Murray Ridge Rd, San Diego, CA 92123-2917 2020-09-02
1356955918 Daniel Carr Military Health Care Provider 5423 Lake Murray Blvd Apt 7, La Mesa, CA 91942-1551 2020-09-01
1255945069 Jeremy Lee Military Health Care Provider 509 Dennery Rd Apt 145, San Diego, CA 92154-8542 2020-08-31
1639782899 Tyler Collin Sparks Military Health Care Provider 1 Mrb, Camp Pendletion, CA 92055 2020-08-27
1013520667 Rashaad Brown Military Health Care Provider 4454 Cherokee Ave Apt 2, San Diego, CA 92116-3611 2020-08-24
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Competitor

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City MURRIETA
Zip Code 92562

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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