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JERRY VANN MARTIN M.D.
NPI 1013172733
Emergency Medicine - Emergency Medical Services in Fremont, CA

Active since July 22, 2008
2500 MOWRY AVE, SUITE 212, FREMONT, CA 94538(510) 608-6174(510) 745-6435 Get Directions Write a Review

NPPES record last updated: February 3, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerry Vann Martin M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY VANN MARTIN M.D. (NPI 1013172733) is an individual emergency medical services provider in Fremont, California, licensed in California (A23873) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1013172733
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameJERRY VANN MARTINCredential: M.D.
Location Address2500 MOWRY AVE, SUITE 212Fremont, CA 94538-1605
Mailing Address7079 Homewood DrOakland, CA 94611-1451
Phone(510) 608-6174
Fax(510) 745-6435
Sole ProprietorNo
Enumeration DateJuly 22, 2008
Last NPPES UpdateFebruary 3, 2009
✔ NPI 1013172733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in CA · A23873
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
2500 MOWRY AVE, Fremont, CA 94538
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Other Identifiers 1

Medicare PINAP589ZCA

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLIANCE HEALTHCARE SERVICES INC
Clinic/Center (Radiology)
2500 MOWRY AVE, SUITE 170
FREMONT, CA 94538
Alameda County (510) 608-1380
MS. SUSAN YAO MS, CCC-SLP
Speech-Language Pathologist
2500 MOWRY AVE, WASHINGTON HOSPITAL, ATTN: SPEECH THERAPY
FREMONT, CA 94538
Alameda County (510) 791-3450
HERS BREAST CANCER FOUNDATION
Durable Medical Equipment & Medical Supplies
2500 MOWRY AVE, SUITE #130
FREMONT, CA 94538
Alameda County (510) 790-1911
KRISTI LYNN LAROCK PA
Physician Assistant
2500 MOWRY AVE, SUITE 222
FREMONT, CA 94538
Alameda County (510) 818-1160
DR. CYNTHIA NNEKA CARBIN M.D.
Family Medicine
2500 MOWRY AVE, SUITE 212
FREMONT, CA 94538
Alameda County (510) 608-6174
WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION
Clinic/Center (Urgent Care)
2500 MOWRY AVE, SUITE 212
FREMONT, CA 94538
Alameda County (510) 608-6174
DR. SANDEEP KUNWAR M.D.
Neurological Surgery
2500 MOWRY AVE, SUITE 222
FREMONT, CA 94538
Alameda County (510) 818-1160
ALLIANCE HEALTHCARE SERVICES INC
Clinic/Center (Radiology, Mobile)
2500 MOWRY AVE, #170
FREMONT, CA 94538
Alameda County (510) 608-1380

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Martin's NPI number?

The NPI number for Jerry Martin is 1013172733. It was assigned to this individual provider in the NPPES registry on July 22, 2008.

Where is Jerry Martin located?

Jerry Martin practices at 2500 Mowry Ave Suite 212, Fremont, CA 94538. The listed phone number is (510) 608-6174.

What is Jerry Martin's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for Jerry Martin was last updated on February 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.