Provider Type Icon

DR. SAMUEL ETHAN MARTHINSEN DO NPI 1861954240


NPI Information

NPI: 1861954240
Provider Name: DR. SAMUEL ETHAN MARTHINSEN, DO
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
350 HAWTHORNE AVE
OAKLAND, CA
ZIP 94609
Phone: (510) 869-8751
Get Directions

DR. Samuel Ethan Marthinsen, DO is a student in an organized health care education training program in Oakland, CA. The provider is 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. DR. Samuel Ethan Marthinsen, DO NPI is 1861954240. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

350 HAWTHORNE AVE
OAKLAND, CA
ZIP 94609-108
Phone: (510) 869-8751

The enumeration date for this NPI number is 4/3/2019 and was last updated on 4/9/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice008509ARIZONANo
2390200000XStudent in an Organized Health Care Education/Training ProgramYes
3171000000XMilitary Health Care Provider008509ARIZONANo
4171000000XMilitary Health Care ProviderNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.