Healthcare Provider Details

I. General information

NPI: 1801098967
Provider Name (Legal Business Name): MARTIN F EPSON MD INC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1569 SOLANO AVE # 401
BERKELEY CA
94707-2116
US

IV. Provider business mailing address

1569 SOLANO AVE # 401
BERKELEY CA
94707-2116
US

V. Phone/Fax

Practice location:
  • Phone: 415-350-3134
  • Fax:
Mailing address:
  • Phone: 415-350-3134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number132723
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License Number132723
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDR.0051514
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License Number132723
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD29256
License Number StateOR
# 7
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number132723
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: