PHILLIP ALLAN MARTIN (MD) – Internal Medicine Physician, NPI 1275580680

PHILLIP ALLAN MARTIN (MD) is a healthcare provider. based in Lake isabella, California. specializing in INTERNAL MEDICINE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. G61763 (CA). The NPI Number for PHILLIP ALLAN MARTIN (MD) is 1275580680

Main info

Male
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP ALLAN MARTIN (MD)
NPI
1275580680
Phone
(760) 379-2681
Address
6412 Laurel Ave
Enumeration Date
30 May 2006
Last Update Date
20 February 2019

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
-
Graduation Year
1982 (44 years ago)
PAC ID
6002885233
Group Practice PAC ID
8820034580
Professional Enrollment ID
I20040924000978
Address ID
CA932573257PO590XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

Provider Addresses for PHILLIP ALLAN MARTIN (MD)

  • 6412 Laurel Ave

    Mountain Mesa

    Lake Isabella, CA 932409529

    Phone: (760) 379-2681

    Type: Location

  • 19963 WALKER BASIN RD

    CALIENTE, CA 935184124

    Phone: (661) 867-1100

    Type: Mailing

  • 6425 LYNCH CANYON DR

    LAKE ISABELLA, CA 932409726

    Phone: (760) 379-8630

    Fax: (760) 379-7658

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $76.

Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.

Last reported payment date: 2024-06-27 • Largest payer in this snapshot: PFIZER INC. ($23).

Total Amount

$76

General + Research + Ownership

Payments

4

Total payment records

General Amount

$76

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-09-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040924000978IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93240)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820034580View full group profile
NameSpecialtyState
P O D I A T R YCA
O B S T E T R I C S/ G Y N E C O L O G YTX
Family PracticeCA
Clinical Social WorkerCA
Family PracticeCA
Nurse PractitionerCA
Family PracticeCA

Reviews

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Frequently asked questions

What federal number belongs to PHILLIP ALLAN MARTIN (MD)?
The federal identifier for PHILLIP ALLAN MARTIN (MD) is NPI 1275580680.
Is PHILLIP ALLAN MARTIN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize PHILLIP ALLAN MARTIN (MD)'s specialty in plain language?
Clinically, the directory lists PHILLIP ALLAN MARTIN (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for PHILLIP ALLAN MARTIN (MD)?
We surface Lake Isabella, California for PHILLIP ALLAN MARTIN (MD) based on available NPPES addresses.
How can I contact PHILLIP ALLAN MARTIN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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