Healthcare Provider Details

I. General information

NPI: 1477482115
Provider Name (Legal Business Name): MARTIN F EPSON MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 SILVER AVE. APU
SAN FRANCISCO CA
94112-1510
US

IV. Provider business mailing address

1569 SOLANO AVE # 401
BERKELEY CA
94707-2116
US

V. Phone/Fax

Practice location:
  • Phone: 415-469-2328
  • Fax:
Mailing address:
  • Phone: 415-350-3134
  • Fax: 415-728-9857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARTIN FITZGERALD EPSON
Title or Position: PRESIDENT/CEO
Credential: MD
Phone: 415-350-3134