MR. BRUCE WAYLAND MARTIN JR. (NPI# 1437403649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437403649 |
| Entity Type | Individual |
| Full Name | MR. BRUCE WAYLAND MARTIN JR. |
| Credential | RRW |
| Practice Address |
200 E Washington Ave Escondido CA 92025-1806 |
| Practice Telephone | 7607417708 |
| Mailing Telephone | 7607417708 |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RW4751 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215226998 | Bruce S Martin | Behavioral Analyst | 712 Rutger St, Utica, NY 13501-2508 | 2011-04-01 |
| 1831399559 | Bruce W. Martin | Optometrist | 49 Deer Run Rd, Cadiz, KY 42211-9474 | 2007-07-20 |
| 1841419710 | Bruce E Martin | Technician/Technologist | 30 Gibraltar Dr, Powder Mill Plaza, Rt 10 East, Morris Plains, NJ 07950-1273 | 2007-04-25 |
| 1043390974 | Bruce D Martin | Pediatrics | 12461 Timberland Blvd, Suite 309, Fort Worth, TX 76244-5213 | 2006-10-16 |
| 1457322141 | Bruce A Martin | Internal Medicine | 370 Cline Ave Ste B3, Mansfield, OH 44907-1057 | 2006-01-30 |
| 1598759979 | Bruce Richard Martin | Internal Medicine | 5210 Linton Blvd Ste 303, Delray Beach, FL 33484-6537 | 2005-08-31 |
| 1023012366 | Bruce W Martin | Family Medicine | 3101 Summit View Dr., Dacono, CO 80514 | 2005-06-01 |
| 1003359266 | Bruce W Martin | Nurse Practitioner | 101 Saint Andrews Ln, Glen Cove, NY 11542-2254 | 2016-11-21 |
| 1871725309 | Bruce Ernest Martin | Pharmacist | 114 N Main St, North Syracuse, NY 13212-2325 | 2009-08-17 |
| 1942318092 | Bruce Martin | Occupational Therapy Assistant | 4065 N 35th St, Milwaukee, WI 53216 | 2006-08-28 |
| Street Address |
200 E WASHINGTON AVE |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-1806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013085398 | Philip C Hammel | Counselor | 200 E Washington Ave, #100, Escondido, CA 92025-1806 | 2006-12-02 |
| 1639731383 | Tracey Voeltner | Counselor | 200 E Washington Ave, Escondido, CA 92025-1806 | 2019-07-02 |
| 1437616984 | Michael Angel Prieto | Counselor | 200 E Washington Ave, Escondido, CA 92025-1806 | 2019-02-20 |
| 1063978765 | Chris Theoharides Sr. | Counselor | 200 E Washington Ave, Escondido, CA 92025-1806 | 2019-02-18 |
| 1689188468 | Joel Ignacio Prospero | Counselor | 200 E Washington Ave, Escondido, CA 92025-1806 | 2017-11-30 |
| 1154853091 | Nicole Williams | Counselor | 200 E Washington Ave, Escondido, CA 92025-1806 | 2017-03-30 |
| 1730630922 | Steven Rogers | Counselor | 200 E Washington Ave, #100, Escondido, CA 92025-1806 | 2016-10-22 |
| 1205216009 | Jessica Alexanra Jaimes | Counselor | 200 E Washington Ave, Escondido, CA 92025-1806 | 2015-06-05 |
| 1841550134 | Laura Shabel | Counselor | 200 E Washington Ave, Suite 100, Escondido, CA 92025-1806 | 2012-05-21 |
| 1043579782 | Andrea M. Zon Frilli | Counselor | 200 E Washington Ave, Escondido, CA 92025-1806 | 2012-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184286361 | Rene S Geronimo | Counselor | 2530 Bear Valley Pkwy Unit 102, Escondido, CA 92027-3596 | 2019-07-08 |
| 1942711908 | Ana Ysabel Davies | Counselor | 200 E Washington Ave Ste 101, Escondido, CA 92025-1806 | 2017-10-18 |
| 1730554940 | April Ortiz | Counselor | 529 S Citrus Ave, Escondido, CA 92027-4201 | 2015-12-14 |
| 1265817613 | Colleen Siegel | Counselor | 200 East Washington St Mhs, Suite # 100, Escondido, CA 92025 | 2015-07-28 |
| 1982085999 | Robert James Williams | Counselor | 910 E. Ohio Ave. #104, Escondido, CA 92025 | 2015-06-16 |
| 1912240318 | Margaret Anello | Counselor | 625 Citracado Pkwy Ste 102, Escondido, CA 92025-6428 | 2013-04-03 |
| 1306118534 | Laura Makey | Counselor | 340 Cypress Crest Ter, Escondido, CA 92025-6646 | 2012-02-03 |
| 1841585635 | Danielle Marie Rubino | Counselor | 200 East Washington Ave, Suite 100, Escondido, CA 92025 | 2011-06-09 |
| 1346545100 | Robert Lee Church | Counselor | 200 E Wshgton Ave Ste 100, Escondido, CA 92025-1806 | 2011-01-25 |
| 1063725976 | Loren Goldstein | Counselor | 117 N Elm St, Escondido, CA 92025-3410 | 2010-07-20 |
| Find all providers in ESCONDIDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.