Provider Demographics
NPI:1922453513
Name:BARNES MARTINEZ, CLAYTON ABBOTT (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:CLAYTON
Middle Name:ABBOTT
Last Name:BARNES MARTINEZ
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:10601 TIERRASANTA BLVD
Mailing Address - Street 2:STE G PMB #122
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92124
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2100 POWELL ST
Practice Address - Street 2:SUITE 400
Practice Address - City:EMERYVILLE
Practice Address - State:CA
Practice Address - Zip Code:94608
Practice Address - Country:US
Practice Address - Phone:510-350-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-02
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA150795208D00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice