MR. DAEMIAN ALEXANDER MARTIN SR. (NPI# 1285233759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285233759 |
| Entity Type | Individual |
| Full Name | MR. DAEMIAN ALEXANDER MARTIN SR. |
| Credential | RN |
| Practice Address |
11234 Anderson St Loma Linda CA 92354-2804 |
| Mailing Address |
35258 Hogan Dr Beaumont CA 92223-7407 |
| Practice Telephone | 9095584000 |
| Mailing Telephone | 9516629195 |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2020-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
845192 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | REGISTERED NURSE | 845192 | 01 |
| Street Address |
11234 ANDERSON ST |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891794657 | Leigh Ann Ballou | Physician Assistant | 11234 Anderson St, Rm 2562b, Loma Linda, CA 92354-2804 | 2005-07-14 |
| 1922610450 | Samantha Zepeda Merchant | Registered Nurse | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-08-17 |
| 1609493451 | Romina Mcgalliard | Registered Nurse | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-27 |
| 1811514854 | Christopher Jihoon Kim | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-25 |
| 1912523135 | Shelly Marie Bogue | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-23 |
| 1962028613 | Sikai Song | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-18 |
| 1720604515 | Nelson Horsley | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-17 |
| 1134744055 | Teddy Matthew Mumu | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-16 |
| 1124643135 | Kristofer John Vance | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-15 |
| 1841814993 | Jonathan Han | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740800127 | Ruel Rey O Alavanza | Registered Nurse | 11606 Anderson St, Loma Linda, CA 92354-3457 | 2020-04-25 |
| 1124385521 | Lorna Figueras | Registered Nurse | 25848 Sahatapa Ln, Loma Linda, CA 92354-6552 | 2012-04-23 |
| 1417330333 | Heather Riedell | Registered Nurse | 11201 Benton St, Loma Linda, CA 92357-1000 | 2015-07-09 |
| 1689923088 | Jean Catherine Berumen | Registered Nurse | 11201 Benton St, Loma Linda, CA 92357-1000 | 2012-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828112 | Julie Hamilton | Registered Nurse | 19065 Chole Rd, Apple Valley, CA 92307-4610 | 2020-10-13 |
| 1316550452 | Amy Lynn Carter | Registered Nurse | 1874 Marlowe St, Thousand Oaks, CA 91360-3331 | 2020-08-28 |
| 1639782501 | Jacqueline Ovsepyan | Registered Nurse | 1628 Glenwood Rd, Glendale, CA 91201-1839 | 2020-08-28 |
| 1265041966 | Rolly Abutal Comia | Registered Nurse | 6963 E Michigan Ave, Fresno, CA 93727-1443 | 2020-07-28 |
| 1336766898 | Carolyn Ashley Eggert | Registered Nurse | 3073 Jaffrey St, Roseville, CA 95747-4291 | 2020-07-01 |
| 1992322424 | Garry Thomas Helgeson | Registered Nurse | 25476 Via Alcira, Valencia, CA 91355-2912 | 2020-07-01 |
| 1992327753 | Brendan R Siebert | Registered Nurse | 1724 Laurel Rd, Oceanside, CA 92054-6150 | 2020-05-14 |
| 1437771680 | Zahra Hamidi | Registered Nurse | 2024 Helen Rd, Pleasant Hill, CA 94523-2714 | 2020-05-11 |
| 1134740715 | Jessica Gall | Registered Nurse | 580 Via Del Caballo, San Marcos, CA 92078-8910 | 2020-05-05 |
| 1881214237 | Kimberly Noche Abido | Registered Nurse | 13540 Brandon Ct, Fontana, CA 92336-3943 | 2020-04-25 |
| Find all providers with the same taxonomy | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
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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.