SAMANTHA MARTIN
NPI 1912688326
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since July 27, 2023
3301 E 12TH ST STE 259, OAKLAND, CA 94601(510) 821-2894 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 25, 2023, Jul 27, 2023 (2 updates tracked since 2023).

About Samantha Martin NPPES

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

SAMANTHA MARTIN (NPI 1912688326) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1912688326
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA MARTIN
Location Address3301 E 12TH ST STE 259Oakland, CA 94601-2940
Mailing Address3301 E 12th St Ste 259Oakland, CA 94601-2940
Sole ProprietorYes
Enumeration DateJuly 27, 2023
Last NPPES UpdateAugust 25, 20232 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
NPI 1912688326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedPsychologistTaxonomy 103T00000X
3301 E 12TH ST STE 259, Oakland, CA 94601

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.

Community/Behavioral Health
3301 E 12TH ST STE 259
OAKLAND, CA 94601
Psychologist
3301 E 12TH ST STE 259
OAKLAND, CA 94601
Psychologist (Clinical)
3301 E 12TH ST STE 259
OAKLAND, CA 94601
Marriage & Family Therapist
3301 E 12TH ST STE 259
OAKLAND, CA 94601
Psychologist (Clinical)
3301 E 12TH ST STE 259
OAKLAND, CA 94601
Psychologist (Clinical)
3301 E 12TH ST STE 259
OAKLAND, CA 94601
Psychologist (Clinical)
3301 E 12TH ST STE 259
OAKLAND, CA 94601
Psychologist (Clinical)
3301 E 12TH ST STE 259
OAKLAND, CA 94601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912688326, enumerated as an "individual" on July 27, 2023.

The provider is located at 3301 E 12TH ST STE 259 OAKLAND, CA 94601 and the phone number is (510) 821-2894.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.