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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CALLISTA BOETTCHER MARTIN MD
NPI 1396558136
General Practice in San Diego, CA

Active since January 27, 2025
34800 BOB WILSON DR, SAN DIEGO, CA 92134(314) 813-4632 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Callista Boettcher Martin Md NPPES

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

DR. CALLISTA BOETTCHER MARTIN MD (NPI 1396558136) is an individual general practice provider in San Diego, California, licensed in Missouri (2026035273) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1396558136
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. CALLISTA BOETTCHER MARTINCredential: MD
Location Address34800 BOB WILSON DRSan Diego, CA 92134-5000
Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-5000 · (314) 813-4632
Phone(314) 813-4632
Sole ProprietorNo
Enumeration DateJanuary 27, 2025
Last NPPES UpdateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1396558136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MO · 2026035273
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
34800 BOB WILSON DR, San Diego, CA 92134
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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.

LORENA MARIE FUJII N.P.
Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-8910
LAKIESHA NICOLE MURPHY
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 713-3385
SUSANNA BYRNE D.O.
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. PAUL CHARLES CAMPBELL D.O.
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-7200
PHILLIP EDWARD FRY JR. DO
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
BRADLY JAMES STILLEY IDC
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (360) 941-9989
DR. ELIZABETH WHIPPLE PHD
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. ELAN HARDER BRESSLOUR-RASHAP MD
General Practice
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400

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 Callista Martin's NPI number?

The NPI number for Callista Martin is 1396558136. It was assigned to this individual provider in the NPPES registry on January 27, 2025.

Where is Callista Martin located?

Callista Martin practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (314) 813-4632.

What is Callista Martin's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Callista Martin was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.