Individual provider · Type 1 NPI
Martian Tampubolon
Emergency Registered Nurse · San Jose, CA
NPI number
1285574020
Active
Practice location
250 Hospital Pkwy # CA95119
San Jose, CA 95119-1199
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse Primary | 163WE0003X | 95240436 (CA) |
Emergency Registered Nurse: Definition to come...
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About NPI 1285574020
Martian Tampubolon's National Provider Identifier is 1285574020, issued on Mar 31, 2026. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in San Jose, CA. The record was last updated on Mar 31, 2026.