ALEX SAMUEL HOLTERMAN MD
NPI 1205676186
Student in an Organized Health Care Education/Training Program in Martinez, CA

Q: What is Alex Holterman's NPI number?

The NPI number for Alex Holterman is 1205676186. It was assigned to this individual provider in the NPPES registry on May 29, 2024.

Q: What is Alex Holterman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Alex Holterman was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 29, 2024PECOS Enrolled

2500 ALHAMBRA AVE, MARTINEZ, CA 94553(925) 370-5117(925) 370-5117 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Alex Samuel Holterman Md NPPES

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

ALEX SAMUEL HOLTERMAN MD (NPI 1205676186) is an individual student in an organized health care education/training program in Martinez, California and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205676186

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameALEX SAMUEL HOLTERMANCredential: MD

Location Address2500 ALHAMBRA AVEMartinez, CA 94553-3156

Mailing Address5262 Redondo Ave Unit BOakland, CA 94618-1047 · (708) 227-0457

Phone(925) 370-5117

Fax(925) 370-5117

Sole ProprietorNo

Enumeration DateMay 29, 2024

NPPES CertifiedMay 29, 2024

✔ NPI 1205676186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2500 ALHAMBRA AVE, Martinez, CA 94553

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alex Samuel Holterman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Leave this field empty

Other Providers at the Same Location NPPES 20

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

JOHN S HAWKINS

Family Medicine