Provider Demographics
NPI:1588988232
Name:DR. MARTIN FALAPPINO, DO FAMILY PRACTICE
Entity type:Organization
Organization Name:DR. MARTIN FALAPPINO, DO FAMILY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:FALAPPINO
Authorized Official - Suffix:
Authorized Official - Credentials:D O
Authorized Official - Phone:559-793-1008
Mailing Address - Street 1:365 PEARSON DR
Mailing Address - Street 2:SUITE 7
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-3360
Mailing Address - Country:US
Mailing Address - Phone:559-793-1008
Mailing Address - Fax:559-793-1045
Practice Address - Street 1:365 PEARSON DR
Practice Address - Street 2:SUITE 7
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-3360
Practice Address - Country:US
Practice Address - Phone:559-793-1008
Practice Address - Fax:559-793-1045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A5221261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A5221OtherSTATE PHYSICIAN LICENCE
CA20A5221OtherSTATE PHYSICIAN LICENCE
CA20A5221OtherSTATE PHYSICIAN LICENCE