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

Dr. Callista Boettcher Martin, MD

Individual provider General Practice Physician · NPI 1396558136

Dr. Callista Boettcher Martin, MD is a General Practice Physician in San Diego, California. Licensed in Missouri. Registered with an NPI since 2025.

Licensed in
MO
In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

34800 Bob Wilson Dr
San Diego, CA 92134-5000
Phone: (314) 813-4632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 2026035273 (MO)

Record details

NPI number1396558136
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 27, 2025
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

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