Jerry Vann Martin
Emergency Medical Services
2500 Mowry Ave Suite 212
Fremont
, California 94538-1605
Jerry Vann Martin
Emergency Medical Services
2500 Mowry Ave Suite 212
Fremont
, California 94538-1605
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Jerry Vann Martin
- 7079 Homewood Dr
- Oakland, CA
- Zip : 94611-1451
- Phone :
Second Address
- Jerry Vann Martin
- 2500 Mowry Ave Suite 212
- Fremont, CA
- Zip : 94538-1605
- Fax : (510) 745-6435
- Phone : (510) 608-6174
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | A23873 | CA |
National Provider Identifier
| NPI | 1013172733 |
|---|---|
| Provider Name | Jerry Vann Martin |
| First Address | Oakland, CA 94611-1451 |
| Second Address | Fremont, CA 94538-1605 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/07/2008 |
| Last Update Date | 03/02/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.