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

Dr. Derrick Martin, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417576208

Dr. Derrick Martin, MD is a Student in an Organized Health Care Education/Training Program in Clovis, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

313 W Shaw Ave
Clovis, CA 93612-3685
Phone: (800) 492-4227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1313 E Herndon Ave, Fresno, CA 93720-3306 — (559) 450-5375

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A183588 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417576208
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2020
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023

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