| Christine Louise Martin, MD | |
|
1276 Halyard Dr, West Sacramento, CA 95691-3412 | |
| (916) 454-2345 | |
| Not Available |
| Full Name | Christine Louise Martin |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1276 Halyard Dr, West Sacramento, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871685370 | NPI | - | NPPES |
| 1871685370 | Medicaid | CA | |
| 1871685370 | Medicaid | NC | |
| 278933 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD27885 (Oregon) | Secondary |
| 208000000X | Pediatrics | 2024-02643 (North Carolina) | Secondary |
| 208000000X | Pediatrics | 92861 (California) | Primary |
| Entity Name | Santa Rosa Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578631172 PECOS PAC ID: 0345130423 Enrollment ID: O20040319001444 |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Louise Martin, MD 1860 Howe Ave Ste 440, Sacramento, CA 95825-1098 Ph: (916) 454-2345 | Christine Louise Martin, MD 1276 Halyard Dr, West Sacramento, CA 95691-3412 Ph: (916) 454-2345 |
Jessica Cheng, Pediatrics Medicare: Medicare Enrolled Practice Location: 1276 Halyard Dr, West Sacramento, CA 95691 Phone: 916-569-8484 | |
Muthumanimoli Sivakumaran, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1276 Halyard Dr, West Sacramento, CA 95691 Phone: 855-354-2242 | |
Yolanda Santana Tejeda, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2101 Stone Blvd Ste 100, West Sacramento, CA 95691 Phone: 916-371-3787 | |
Harini Racherla, Pediatrics Medicare: Medicare Enrolled Practice Location: 2101 Stone Blvd, #6m, West Sacramento, CA 95691 Phone: 917-704-7844 | |
Olga Kashlinskaya, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 804 Harbor Blvd, West Sacramento, CA 95691 Phone: 916-371-1616 Fax: 916-375-0706 | |
Colleen Callaghan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 155 15th St, Suite A, West Sacramento, CA 95691 Phone: 916-375-8990 |