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

Individual provider Surgery Physician · NPI 1184935421

Dr. Mersadies R Martin, MD is a General Surgery in San Diego, California. Qualified in 2010, 16 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California, Massachusetts and Michigan.

Years since qualifying
16
Licensed in
CA, MA, MI
In the registry since
2010
Specialties on file
3
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

4405 Vandever Ave 4nd Fl
San Diego, CA 92120-3315
Phone: (619) 323-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 139523 (CA)
Surgery Physician Taxonomy 208600000X · Licence 4301097219 (MI)
Surgery Physician Taxonomy 208600000X · Licence 262418 (MA)

Record details

NPI number1184935421
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2010
Last updated in NPPESDecember 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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