MR. MARK KEVIN MARTIN (NPI# 1346300043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346300043 |
| Entity Type | Individual |
| Full Name | MR. MARK KEVIN MARTIN |
| Practice Address |
1975 Long Beach Blvd Long Beach CA 90806-5501 |
| Mailing Address |
12771 Martha Ann Dr Los Alamitos CA 90720-4921 |
| Practice Telephone | 5622184091 |
| Practice Fax Number | 5625993934 |
| Mailing Telephone | 5624302178 |
| Mailing Fax Number | 5625993934 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763004 | Mark Martin | Technician, Other | 3041 S Charlton Park Rd, Hastings, MI 49058-8806 | 2016-11-28 |
| 1295707859 | Mark A Martin | Family Medicine | 2112 Pineshore Ct, Evansville, IN 47711-4473 | 2006-02-07 |
| 1578031860 | Mark Martin | Perfusionist | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2018-11-05 |
| 1164916805 | Mark Martin | Counselor | 11811 Shaker Blvd Ste 123, Cleveland, OH 44120-1927 | 2018-06-17 |
| 1073023024 | Mark Martin | Social Worker | 1835 Gilmore Ave, Lakeland, FL 33805 | 2017-10-04 |
| 1952728347 | Mark Martin | Case Manager/Care Coordinator | 3612 Cuming St, Omaha, NE 68131-1952 | 2014-03-24 |
| 1447576103 | Mark J Martin | Nurse Practitioner | 286 Us Highway 23 N, Prestonsburg, KY 41653-8732 | 2010-04-20 |
| 1346490695 | Mark Martin | Counselor | 5673 Airport Rd, Roanoke, VA 24012-1119 | 2008-09-23 |
| 1982726436 | Mark Blair Martin | Dentist | 910 E Grand Ave, Escondido, CA 92025-3430 | 2007-04-04 |
| 1689734097 | Mark R. Martin | Pharmacist | 510 S Elliott St, Pryor, OK 74361-6411 | 2006-12-08 |
| Street Address |
1975 LONG BEACH BLVD |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902994544 | Stephen Michael Shea | Psychiatry & Neurology | 1975 Long Beach Blvd, Long Beach, CA 90806-5501 | 2006-10-10 |
| 1487101671 | Kimia Poosti | Student in an Organized Health Care Education/Training Program | 1975 Long Beach Blvd, Long Beach, CA 90806-5501 | 2016-09-06 |
| 1184179731 | Mihaela Ioana Schneider | Student in an Organized Health Care Education/Training Program | 1975 Long Beach Blvd, Long Beach, CA 90806-5501 | 2016-08-23 |
| 1407202716 | Demetrice Richardson | Counselor | 1975 Long Beach Blvd, Long Beach, CA 90806-5501 | 2016-05-05 |
| 1306208442 | Arnaldo Maldonado | Rehabilitation Practitioner | 1975 Long Beach Blvd, Long Beach, CA 90806-5501 | 2016-03-28 |
| 1033578810 | Perla Allen | Social Worker | 1975 Long Beach Blvd, Long Beach, CA 90806-5501 | 2016-02-22 |
| 1366826943 | Ruth Sipple | Counselor | 1975 Long Beach Blvd, Long Beach, CA 90806-5501 | 2015-07-14 |
| 1053712497 | Jennifer Esfandi | Rehabilitation Practitioner | 1975 Long Beach Blvd, Long Beach, CA 90806-5501 | 2014-09-04 |
| 1386071371 | Sophia Kien | Student in an Organized Health Care Education/Training Program | 1975 Long Beach Blvd, Long Beach, CA 90806-5501 | 2013-10-04 |
| 1598191942 | Traci Bank | Community Health Worker | 1975 Long Beach Blvd, Long Beach, CA 90806-5501 | 2013-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750741831 | Kaitlin Kara Mcdowell Hermes | Recreation Therapist | 730 E Beach Blvd # 5128, Long Beach, MS 39560-6259 | 2016-03-02 |
| 1417153032 | Sonja Denise Grayson | Recreation Therapist | 3491 E Andy St Apt 4, Long Beach, CA 90805-4542 | 2007-06-21 |
| 1699843706 | Jean Marie Lima | Recreation Therapist | 240 E 20th Street, Long Beach, CA 90806-1312 | 2006-11-30 |
| 1669832747 | Shelley R Holland | Recreation Therapist | 730 E Beach Blvd # 5128, Long Beach, MS 39560-6259 | 2016-03-02 |
| 1124288030 | Ann Elizabeth Kinnischtzke | Recreation Therapist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2008-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733233 | Kevin Mccann | Recreation Therapist | 201 9th St # 11-k, Marina, CA 93933-6039 | 2020-06-03 |
| 1962024950 | Jacqueline K Volz | Recreation Therapist | 21732 S Vermont Ave, Torrance, CA 90502-2179 | 2020-05-12 |
| 1578190104 | Carolyn Neufeld | Recreation Therapist | 2915 Buthmann Ave, Tracy, CA 95376-1806 | 2020-03-24 |
| 1922634625 | Deborah Paulus | Recreation Therapist | 4777 Grouse Run Dr Apt 218, Stockton, CA 95207-5384 | 2020-03-14 |
| 1518433259 | Jenality Thurman | Recreation Therapist | 1766 Kenneth St, Seaside, CA 93955-3842 | 2018-10-20 |
| 1962986042 | Long Pham | Recreation Therapist | 7175 Enclave Dr, Eastvale, CA 92880-3828 | 2018-09-24 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1669995742 | Christina Randle | Recreation Therapist | 2221 Lily Ave, Upland, CA 91784-7997 | 2017-07-20 |
| 1982127288 | Tiffany Chiyeko Yonemoto | Recreation Therapist | 7601 E. Imperial Hwy., Downey, CA 90242 | 2017-07-19 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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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.