Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andre Douglas Martin

Individual provider Community Health Worker · NPI 1639800790

Andre Douglas Martin is a Community Health Worker in Palmdale, California. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

2714 E Avenue R
Palmdale, CA 93550-5534
Phone: (661) 309-3485
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1529 E Palmdale Blvd Ste 210, Palmdale, CA 93550-2029 — (661) 309-3485

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1639800790
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 20, 2022
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025
Mailing address2714 E Avenue R, Palmdale, CA 93550-5534

Other providers in Palmdale