Provider Demographics
NPI:1205861309
Name:FALAPPINO, MARTIN (DO)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:
Last Name:FALAPPINO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 PEARSON DR STE 7
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-3360
Mailing Address - Country:US
Mailing Address - Phone:559-793-1008
Mailing Address - Fax:559-793-1045
Practice Address - Street 1:365 PEARSON DR STE 7
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-3360
Practice Address - Country:US
Practice Address - Phone:559-793-1008
Practice Address - Fax:559-793-1045
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A5221207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA020A52211Medicare PIN