Active NPIIndividual provider

Kathleen Martino, PHYSICIAN ASSISTANT

Physician Assistant, Medical in Redwood City, California

NPI Number1578986048
Practice location
617 Veterans Blvd Ste 101, Redwood City, CA 94063-1404
Fax
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Last updated
June 11, 2020

Kathleen Martino is a Physician Assistant, Medical based in Redwood City, CA. Kathleen Martino practices in Redwood City, CA and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Kathleen Martino is 1578986048 and holds a License No. 57647 (CA). The current practice location address for Kathleen Martino is 617 Veterans Blvd Ste 101, Redwood City, CA 94063-1404 and can be reached out via phone at 650-384-9358.

Provider Profile Details

NPI Number
1578986048
Provider Name
Kathleen Martino
Credential
PHYSICIAN ASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
617 Veterans Blvd Ste 101, Redwood City, CA 94063-1404
Phone Number
650-384-9358
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Other Names
Kathleen Post, PHYSICIAN ASSISTANT (Former Name)
Provider Enumeration Date
February 3, 2014
Last Update Date
June 11, 2020
Certification Date
June 11, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
617 Veterans Blvd Ste 101
Redwood City, CA 94063-1404
Zip
94063-1404
Phone Number
650-384-9358
Redwood City, CA 94063Get directions →

Provider Business Mailing Address Details

Address
4325 Glencoe Unit 10584
Marina Del Rey, CA 90295-4476
City
Marina Del Rey
State
CA
Zip
90295-4476

License Information

License Number
57647
License State
CA
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathleen Martino, PHYSICIAN ASSISTANT?

The NPI number of Kathleen Martino, PHYSICIAN ASSISTANT is 1578986048. It was assigned on February 3, 2014 and is currently active in the NPPES registry.

What is the specialty of Kathleen Martino, PHYSICIAN ASSISTANT?

Kathleen Martino, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CA under license number 57647.

Where does Kathleen Martino, PHYSICIAN ASSISTANT practice?

The practice location is 617 Veterans Blvd Ste 101, Redwood City, CA 94063-1404. The office can be reached at 650-384-9358 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578986048 directly on the NPPES registry website.

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