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ANDRE DOUGLAS MARTIN
NPI 1639800790
Day Training/Habilitation Specialist in Palmdale, CA

Active since June 20, 2022
2714 E AVENUE R, PALMDALE, CA 93550(661) 309-3485 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andre Douglas Martin NPPES

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

ANDRE DOUGLAS MARTIN (NPI 1639800790) is an individual day training/habilitation specialist in Palmdale, California and active in the NPI registry since June 2022. He maintains a secondary practice location in Palmdale.

NPPES Registry Identity

NPI1639800790
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameANDRE DOUGLAS MARTIN
Location Address2714 E AVENUE RPalmdale, CA 93550-5534
Mailing Address2714 E Avenue RPalmdale, CA 93550-5534 · (661) 309-3485
Phone(661) 309-3485
Sole ProprietorNo
Enumeration DateJune 20, 2022
Last NPPES UpdateMay 14, 2025
NPPES CertifiedMay 14, 2025
✔ NPI 1639800790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
2714 E AVENUE R, Palmdale, CA 93550
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Secondary Practice Location 1

Location 11529 E Palmdale Blvd Ste 210Palmdale, CA 93550-2029 · Phone (661) 309-3485

Other Providers at the Same Location NPPES 4

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

RACHELLE RENEE SMITH
Day Training/Habilitation Specialist
2714 E AVENUE R
PALMDALE, CA 93550
Los Angeles County (661) 732-0097
LATORRA DONTAY KEITH
Day Training/Habilitation Specialist
2714 E AVENUE R
PALMDALE, CA 93550
Los Angeles County (661) 480-4112
COLLEEN TIFFANY MARTIN
Day Training/Habilitation Specialist
2714 E AVENUE R
PALMDALE, CA 93550
Los Angeles County (661) 309-3609
COREY ROSSELL SAXTON
Day Training/Habilitation Specialist
2714 E AVENUE R
PALMDALE, CA 93550
Los Angeles County (661) 794-3571

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 Andre Martin's NPI number?

The NPI number for Andre Martin is 1639800790. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Where is Andre Martin located?

Andre Martin practices at 2714 E Avenue R, Palmdale, CA 93550. The listed phone number is (661) 309-3485.

What is Andre Martin's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Andre Martin was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.