DR. MARTIN JAY COLLEN (NPI# 1578659249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578659249 |
| Entity Type | Individual |
| Full Name | DR. MARTIN JAY COLLEN |
| Credential | M.D. |
| Practice Address |
36320 Inland Valley Dr Ste. 209 Wildomar CA 92595-7512 |
| Mailing Address |
6647 Hawarden Dr Riverside CA 92506-5111 |
| Practice Telephone | 9512031538 |
| Practice Fax Number | 9517897610 |
| Mailing Telephone | 9517891483 |
| Mailing Fax Number | 9517897610 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2009-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
00G210320 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
36320 INLAND VALLEY DR STE. 209 |
| City | WILDOMAR |
| State | CA |
| Zip Code | 92595-7512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710985569 | Sabry E Bakr | Pediatrics | 36320 Inland Valley Dr, Suite 207, Wildomar, CA 92595-7512 | 2005-07-13 |
| 1144673526 | Murrieta Valley Surgery Center, Inc.a Professional Corporation | Clinic/Center | 36320 Inland Valley Dr, Suite 101, Wildomar, CA 92595-7512 | 2016-07-20 |
| 1851633788 | Valley Trauma Associates | Surgery | 36320 Inland Valley Dr, Suite 201, Wildomar, CA 92595-7512 | 2013-03-18 |
| 1659636892 | Patricia Ann Ford | Dietitian, Registered | 36320 Inland Valley Dr, Suite 201, Wildomar, CA 92595-7512 | 2012-07-12 |
| 1760743454 | Murrieta Valley Surgery Associates Medical Group, Inc, Apc | Surgery | 36320 Inland Valley Dr, Suite 201, Wildomar, CA 92595 | 2012-05-30 |
| 1235435231 | Marcella Bonnici, M.d. Professional Corporation | Clinic/Center | 36320 Inland Valley Dr, Suite 201, Wildomar, CA 92595-7512 | 2011-02-08 |
| 1104146968 | Michael L Cross Md, A Professional | Surgery | 36320 Inland Valley Dr, Suite 201, Wildomar, CA 92595-7512 | 2010-06-03 |
| 1437326410 | Shankha Nandi | Internal Medicine | 36320 Inland Valley Dr, Suite 308, Wildomar, CA 92595-7512 | 2008-05-09 |
| 1235267584 | Paul K Wielenga | Nurse Practitioner | 36320 Inland Valley Dr, #308, Wildomar, CA 92595-7512 | 2007-03-01 |
| 1326113747 | Temecula Valley Radiation Oncology Med Group | Radiology | 36320 Inland Valley Dr, Suite 105, Wildomar, CA 92595-7512 | 2006-11-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184190845 | Amber Nicole Salgado | Licensed Vocational Nurse | 33685 Harvest Way East, Wildomar, CA 92595 | 2018-10-22 |
| 1417448168 | Inland Valley Trauma and Acute Care Surgery Apc Inc | Surgery | 36320 Inland Valley Dr Ste 101a, Wildomar, CA 92595 | 2018-05-29 |
| 1033636311 | Omar H Nael | Behavioral Analyst | 35925 Susan Dr, Wildomar, CA 92595 | 2017-08-27 |
| 1023535820 | Dennis Bonavilla | Specialist/Technologist, Other | 34859 Frederick Street, Suite 112, Wildomar, CA 92595 | 2017-08-23 |
| 1578965901 | Purnima K Patel M.d Inc | Internal Medicine | 32423 Inland Valley Dr. Ste 160, Wildomar, CA 92595 | 2014-09-17 |
| 1740523133 | Jerry Zhong Yu | Internal Medicine | 36320 Inland Valley Dr Ste 308, Wildomar, CA 92595 | 2013-04-03 |
| 1871859553 | Norman Orr | Internal Medicine | 36485 Valley Medical Center, Wildomar, CA 92595 | 2012-04-06 |
| 1902190226 | Brian Patrick Tiu | Surgery | 36320 Inland Valley Dr Ste 101, Wildomar, CA 92595 | 2011-06-03 |
| 1508013897 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 24335 Prielipp Rd Bldg A, Ste 116, Wildomar, CA 92595 | 2008-08-19 |
| 1760604383 | Nasko Lubenov Atanassov | Physical Therapist | 36485 Inland Valey Drive, Wildomar, CA 92595 | 2007-05-03 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1548883622 | Martha Hierro, Md Inc | Internal Medicine | 2021 Santa Monica Blvd Ste 335e, Santa Monica, CA 90404-2146 | 2020-05-22 |
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| 1861020364 | Kelvin Yeh Md Inc | Internal Medicine | 1715 S Date Ave, Alhambra, CA 91803-2908 | 2020-03-30 |
| 1598399917 | Indraneel Chakrabarty, Md Inc. | Internal Medicine | 31625 De Portola Rd Ste 101, Temecula, CA 92592-2770 | 2020-02-25 |
| 1316581390 | Premier Digestive Health A Medical Corporation | Internal Medicine | 16350 Ventura Blvd # D539, Encino, CA 91436-5300 | 2019-11-01 |
| 1427604834 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave Ste 50, Lodi, CA 95240-5139 | 2019-08-12 |
| 1861045106 | Gary M Van Deventer Md Inc | Internal Medicine | 504 W Pueblo St Ste 201, Santa Barbara, CA 93105-6211 | 2019-07-16 |
| 1689232779 | Zelman Weingarten Md Inc | Internal Medicine | 101 E Beverly Blvd Ste 203, Montebello, CA 90640-4315 | 2019-06-03 |
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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.