Dr. Grace Tandoc Martin
M.D. | Pediatrics | Female
Dr. Grace Tandoc Martin, M.D. is a Santa Rosa, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Grace Tandoc Martin is
1165 Montgomery Dr, Santa Rosa, California - 95405-4801. She can be contacted on phone at
707-303-8321.
Dr. Grace Tandoc Martin is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Grace Tandoc Martin is
1356454086 which was assigned by NPPES on 16 Aug, 2006 and it was last updated on 27 Sep, 2022.
Dr. Grace Tandoc Martin license number is
A83664 for Pediatrics (208000000X) in California.
Dr. Grace Tandoc Martin is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Grace Tandoc Martin basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Grace Tandoc Martin |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
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Business Address:
Dr. Grace Tandoc Martin address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1165 Montgomery Dr
Santa Rosa, CA, 95405-4801
United States |
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| Phone Number : | 707-303-8321 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1356454086 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Aug, 2006 |
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| Last Updated On : | 27 Sep, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Grace Tandoc Martin are as mentioned. Primary taxonomy code for Dr. Grace Tandoc Martin, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208M00000X | Hospitalist | No | A83664 | CA |
| 208000000X | Pediatrics | Yes | A83664 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Grace Tandoc Martin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| GR0061380 | MEDICAID | CA | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1100 LARKSPUR LANDING CIR STE 10,
LARKSPUR, CA, 94939-1836
United States | LARKSPUR, CA | 415-464-1350 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | gmartin1658021@oc.providencedirect.org
| No affiliation |
|
| 1550A Professional Dr # 200,
Petaluma, CA, 94954-6628
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 500 Doyle Park Dr, Suite 100
Santa Rosa, CA, 95405-4558
United States |
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| Phone Number : | 707-544-6090 |
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| Fax Number : | 707-544-2389 |
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Business Location:
Patients can refer following map for directions to
Dr. Grace Tandoc Martin practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.