DR. MARK THOMAS MARTINEZ (NPI# 1932434594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932434594 |
| Entity Type | Individual |
| Full Name | DR. MARK THOMAS MARTINEZ |
| Credential | PSY.D. |
| Practice Address |
3102 E Highland Ave Medical Staff Office Patton CA 92369-7813 |
| Practice Telephone | 9094257679 |
| Practice Fax Number | 9094256635 |
| Mailing Telephone | 9094257679 |
| Mailing Fax Number | 9094256635 |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2013-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
22574 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720593585 | Mark Martinez | Contractor | 611 S Valley Rd, Cortez, CO 81321-3900 | 2017-12-02 |
| 1720529381 | Mark Christopher Martinez | Counselor | 20 W 9th St Ste 601, Kansas City, MO 64105-1704 | 2017-03-15 |
| 1700140092 | Mark Martinez | Emergency Medicine | 6200 Sunset Dr Ste 302, South Miami, FL 33143-4829 | 2012-07-02 |
| 1144589144 | Mark Martinez | Physical Therapy Assistant | 13520 Bona Vista Ln, La Mirada, CA 90638-2803 | 2012-05-10 |
| 1518291558 | Mark Martinez | Counselor | 101 'd' Avenue, Black Rock, Zuni, NM 87327-0101 | 2009-09-23 |
| 1508861964 | Mark L Martinez | Internal Medicine | 8 Th Avenue and C St, Salt Lake City, UT 84143-0001 | 2005-06-14 |
| 1598328445 | Mark Martinez | Pharmacist | 5505 Carson St, Lakewood, CA 90713-3004 | 2019-04-16 |
| 1174993562 | Mark Martinez | Behavioral Analyst | 11755 Sw 90th St, 210, Miami, FL 33186-2177 | 2015-09-29 |
| 1740690833 | Mark Martinez | Counselor | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2014-04-29 |
| 1811261308 | Mark Daniel Martinez | Behavioral Analyst | 1301 Yosemite Pkwy, Merced, CA 95340-5203 | 2012-02-29 |
| Street Address |
3102 E HIGHLAND AVE MEDICAL STAFF OFFICE |
| City | PATTON |
| State | CA |
| Zip Code | 92369-7813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174592158 | Gregory Bruce Leong | Psychiatry & Neurology | 3102 E Highland Ave, Patton, CA 92369-7813 | 2006-03-14 |
| 1851830053 | Hong Nguyen | Pharmacist | 3102 E Highland Ave, Patton, CA 92369-7813 | 2017-02-21 |
| 1215476627 | Hai Nguyen | Pharmacist | 3102 E Highland Ave, Patton, CA 92369-7813 | 2017-02-17 |
| 1669866042 | Eddie Lee Diaz | Pharmacist | 3102 E Highland Ave, Main Phamacy, Patton, CA 92369-7813 | 2015-03-24 |
| 1043620578 | Jeffrey Walsh | Psychiatry & Neurology | 3102 E Highland Ave, Patton, CA 92369 | 2014-05-06 |
| 1386065274 | Shobha George | Social Worker | 3102 E Highland Ave, Patton, CA 92369-7813 | 2013-12-19 |
| 1629416482 | Johnnie Chi | Psychiatry & Neurology | 3102 E Highland Ave, Patton, CA 92369-7813 | 2013-06-13 |
| 1144576299 | Chen-ying Wu | Psychiatry & Neurology | 3102 E Highland Ave, Patton, CA 92369-7813 | 2012-07-26 |
| 1598025165 | Loren Carrillo King | Psychologist | 3102 E Highland Ave, Patton, CA 92369-7813 | 2012-05-16 |
| 1235401050 | Joy Tuesday Ramas Engracia | Nurse Practitioner | 3102 E Highland Ave, Patton, CA 92369-7813 | 2012-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598095606 | Carolyn Boosalis Foley | Psychologist | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2010-01-12 |
| 1023255478 | Crystal Mueller | Psychologist | 3102 E. Highland Ave., Patton State Hospital, Patton, CA 92369 | 2009-01-07 |
| 1487698304 | Nitin Kulkarni | Psychiatry & Neurology | 3102. E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2006-06-15 |
| 1174562680 | Flavia Jorge | Psychologist | 3102 E.highland Avenue, Patton, CA 92369 | 2006-06-06 |
| 1326090127 | Mendel Jonathan Feldsher | Psychiatry & Neurology | 3102 East Highland Avenue, Patton, CA 92369 | 2006-05-17 |
| 1124070560 | Liana Niculina Tanase | Psychiatry & Neurology | 3102 E. Highland Ave, Medical Staff Office, Patton, CA 92369 | 2006-05-16 |
| 1518919802 | Manuel B Desagun | Psychiatry & Neurology | 3102 East Highway Ave, Patton, CA 92369 | 2006-05-16 |
| 1225080633 | John I Benson | Psychiatry & Neurology | 3102 East Highland Ave, Patton, CA 92369 | 2006-05-16 |
| 1295735298 | Bruce L Karp | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2005-08-01 |
| 1245739655 | Miriam Irvin | Social Worker | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2018-02-12 |
| Find all providers in zip 92369 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598095606 | Carolyn Boosalis Foley | Psychologist | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2010-01-12 |
| 1295735298 | Bruce L Karp | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2005-08-01 |
| 1306383393 | Kasmira J Sobkow | Psychologist | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-01-27 |
| 1619336302 | Melissa Ann Jajko | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2016-02-23 |
| 1598135857 | Adrianne Valda Nelson | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2015-09-30 |
| 1376974113 | Parnian M Toofanian Ross | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2013-12-04 |
| 1194161679 | Piyonik Hartounian | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2013-05-10 |
| 1598025165 | Loren Carrillo King | Psychologist | 3102 E Highland Ave, Patton, CA 92369-7813 | 2012-05-16 |
| 1760750111 | Elba I Campos | Psychologist | 3102 East Highland Avenue, Patton, CA 92369 | 2011-12-13 |
| 1730462664 | Marla D Berry | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2011-09-27 |
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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.