MARTIN C HOLT PA
NPI 1417196098
General Practice in Fullerton, CA

Active since February 05, 2009PECOS Enrolled
901 W ORANGETHORPE AVE, FULLERTON, CA 92832(714) 441-0411(714) 441-1824 Get Directions Write a Review

NPPES record last updated: February 5, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Martin C Holt Pa NPPES

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

MARTIN C HOLT PA (NPI 1417196098) is an individual general practice provider in Fullerton, California, licensed in California (PA13479) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417196098
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMARTIN C HOLTCredential: PA
Location Address901 W ORANGETHORPE AVEFullerton, CA 92832-2826
Mailing Address7439 La Palma Ave # 120Buena Park, CA 90620-2655 · (714) 441-0411 · Fax (714) 441-1824
Fax(714) 441-1824
Sole ProprietorYes
Enumeration DateFebruary 5, 2009
NPI 1417196098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · PA13479
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
901 W ORANGETHORPE AVE, Fullerton, CA 92832

Other Identifiers 1

OtherPA13479CA · Pa California License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Martin C Holt Pa 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.

Other Providers at the Same Location NPPES 3

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

Family Medicine
901 W ORANGETHORPE AVE
FULLERTON, CA 92832
Physician Assistant (Medical)
901 W ORANGETHORPE AVE
FULLERTON, CA 92832
Non-Pharmacy Dispensing Site
901 W ORANGETHORPE AVE
FULLERTON, CA 92832

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 Martin Holt's NPI number?

The NPI number for Martin Holt is 1417196098. It was assigned to this individual provider in the NPPES registry on February 5, 2009.

Where is Martin Holt located?

Martin Holt practices at 901 W Orangethorpe Ave, Fullerton, CA 92832. The listed phone number is (714) 441-0411.

What is Martin Holt's specialty?

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

Is Martin Holt enrolled in Medicare?

Yes. Martin Holt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Martin Holt was last updated on February 5, 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.