DR. BENNY JOE MARTIN (NPI# 1619975232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619975232 |
| Entity Type | Individual |
| Full Name | DR. BENNY JOE MARTIN |
| Other Name | DR. BEN J MARTIN |
| Credential | DO |
| Practice Address |
400 Craven Rd San Marcos CA 92078-4201 |
| Practice Telephone | 8002905000 |
| Mailing Telephone | 8002905000 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2015-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A12203 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036114292 | 05 | |
| IL | BLUE CROSS BLUE SHIELD | 06032182 | 01 |
| OK | 100256740D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124150180 | Benny Ray Martin | Psychologist | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2007-03-12 |
| Street Address |
400 CRAVEN RD |
| City | SAN MARCOS |
| State | CA |
| Zip Code | 92078-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154804250 | Kelly Nicholas | Respiratory Therapist, Registered | 400 Craven Rd, San Marcos, CA 92078-4201 | 2018-09-13 |
| 1154809978 | Cassandra Evette Roberts | Respiratory Therapist, Registered | 400 Craven Rd, San Marcos, CA 92078-4201 | 2018-08-02 |
| 1023596442 | Jennifer Alexander | Respiratory Therapist, Certified | 400 Craven Rd, San Marcos, CA 92078-4201 | 2018-07-30 |
| 1639681034 | Alyssa Maples | Physical Therapist | 400 Craven Rd, San Marcos, CA 92078-4201 | 2017-10-25 |
| 1649727470 | Oliver Marselo Fregoso | Technician, Other | 400 Craven Rd, San Marcos, CA 92078-4201 | 2016-09-09 |
| 1487013595 | Jacqueline Bui | Pharmacist | 400 Craven Rd, San Marcos, CA 92078-4201 | 2016-02-17 |
| 1457710758 | Nikki Pham | Pharmacist | 400 Craven Rd, San Marcos, CA 92078-4201 | 2016-02-15 |
| 1356709364 | Mydung Duong | Pharmacist | 400 Craven Rd, San Marcos, CA 92078-4201 | 2016-02-04 |
| 1073991261 | Tracy M Abrams | Registered Nurse | 400 Craven Rd, Surgery Center, Building 4, San Marcos, CA 92078-4201 | 2015-05-08 |
| 1861887150 | Weston Ryan | Physical Therapist | 400 Craven Rd, San Marcos, CA 92078 | 2015-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437623253 | Tania Borja-rodriguez | Nurse Practitioner | 334 Via Vera Cruz #257, San Marcos, CA 92078 | 2019-01-15 |
| 1558846824 | Mckenzie Daile Sorensen | Dentist | 145 S Las Posas Rd Ste 162, San Marcos, CA 92078 | 2018-10-02 |
| 1548750169 | West2north Medical Solutions Inc | Physical Medicine & Rehabilitation | 1595 Grand Ave Ste 100, San Marcos, CA 92078 | 2018-05-18 |
| 1700385747 | Wytoshery Monea Williams | Nurse Practitioner | 1912 Northstar Way, 130, San Marcos, CA 92078 | 2018-02-05 |
| 1457878415 | Smile Community Clinic Inc | Dentist | 670 W. San Marcos Blvd. Ste 103-b, San Marcos, CA 92078 | 2017-08-29 |
| 1740636232 | Ethelaine Centeno | Occupational Therapist | 1615 S. Rancho Santa Fe Road, San Marcos, CA 92078 | 2016-05-13 |
| 1336506203 | Nga Thien Ta | Pharmacist | 671 Rancho Santa Fe, San Marcos, CA 92078 | 2016-01-24 |
| 1689039349 | Kayleigh Ann Desrosiers | Physical Therapist | 137 S Las Posas Rd Ste 254, San Marcos, CA 92078 | 2015-12-23 |
| 1821475930 | Anna Yu | Social Worker | 310 S. Twin Oaks Valley Rd., #107-381, San Marcos, CA 92078 | 2015-04-28 |
| 1831582592 | Bewell Home Physical Therapy P C | Clinic/Center | 1582 W San Marcos Blvd Ste 105b, San Marcos, CA 92078 | 2015-03-05 |
| Find all providers in zip 92078 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235763434 | Mara Cruz | Family Medicine | 2130 Old Zorn Rd, San Marcos, TX 78666-2000 | 2020-02-26 |
| 1558865717 | Juventas Plasma LLC | Family Medicine | 1920 Corporate Drive, Suite 101 A, San Marcos, TX 78666 | 2018-03-22 |
| 1386909638 | Desty Alcancia Manzo-chua | Family Medicine | 1201 Camino Lorado, 1201 Camino Lorado, San Marcos, CA 92078-7106 | 2012-07-11 |
| 1558623371 | Michael Andrew Woo-ming | Family Medicine | 1537 Grand Ave Ste A, San Marcos, CA 92078-2424 | 2012-06-08 |
| 1700084829 | Drew Ernest Polson | Family Medicine | 2406 Hunter Rd Ste 106, San Marcos, TX 78666-5256 | 2007-07-10 |
| 1316150535 | San Marcos Family Medicine | Family Medicine | 1999 Medical Pkwy, Suite A, San Marcos, TX 78666-7850 | 2007-05-07 |
| 1043359219 | Luis J Navazo | Family Medicine | 1582 W San Marcos Blvd Ste 100, San Marcos, CA 92078-4081 | 2007-02-05 |
| 1790833119 | Liliana Alvarez-martinez | Family Medicine | 727 W San Marcos Blvd Ste 112, San Marcos, CA 92078-1244 | 2007-01-08 |
| 1396856837 | Steven Rar Bates | Family Medicine | Cal State San Marcos, Student Health and Counseling Services, San Marcos, CA 92096-0001 | 2006-08-31 |
| 1336164425 | Alan Lane Lee | Family Medicine | 2406 Hunter Rd, Suite 106, San Marcos, TX 78666-5255 | 2006-07-12 |
| Find all providers in SAN MARCOS | ||||
| City | SAN MARCOS |
| Zip Code | 92078 |
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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.