Healthcare Provider Details

I. General information

NPI: 1417451071
Provider Name (Legal Business Name): MARTIN JEFFREY KAMPER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2018
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 LOS PALOS DR STE A
SALINAS CA
93901-3916
US

IV. Provider business mailing address

100 WILSON RD STE 100
MONTEREY CA
93940-7885
US

V. Phone/Fax

Practice location:
  • Phone: 831-242-8645
  • Fax:
Mailing address:
  • Phone: 831-242-8645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberA206151
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA206151
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: