1588988232 NPI number — DR. MARTIN FALAPPINO, DO FAMILY PRACTICE

Table of content: (NPI 1588988232)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588988232 NPI number — DR. MARTIN FALAPPINO, DO FAMILY PRACTICE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. MARTIN FALAPPINO, DO FAMILY PRACTICE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588988232
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
365 PEARSON DR
Provider Second Line Business Mailing Address:
SUITE 7
Provider Business Mailing Address City Name:
PORTERVILLE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93257-3360
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
559-793-1008
Provider Business Mailing Address Fax Number:
559-793-1045

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
365 PEARSON DR
Provider Second Line Business Practice Location Address:
SUITE 7
Provider Business Practice Location Address City Name:
PORTERVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93257-3360
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-793-1008
Provider Business Practice Location Address Fax Number:
559-793-1045
Provider Enumeration Date:
03/24/2010

Additional Information

Authorized Official

Authorized Official Last Name:
FALAPPINO
Authorized Official First Name:
MARTIN
Authorized Official Middle Name:
THOMAS
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
559-793-1008

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X , with the licence number:  20A5221 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 20A5221 . This is a "STATE PHYSICIAN LICENCE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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