Physician Compare National (NPI:1356318794)

HEALTHCARE PROVIDER: ROBERT EDWARD MARTIN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1356318794
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2365514007
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080711000502
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MARTIN
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	21030 REDWOOD RD
	Group Practice or individual's line 1 address
City	CASTRO VALLEY
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	945465920
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050488
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	EDEN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y