Omoto ABA Consulting, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OMOTO ABA CONSULTING, LLC

Practice address

5111 Diane Ave
San Diego, CA 92117-1356

Phone

(916) 549-2244

NPI assigned

Jan 10, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Martin Jason Omoto, MS, BCBANPI 1275074288

Title

Executive Director

Phone

(619) 215-1949

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin Jason Omoto, M.S., BCBA

  • Behavior Analyst
  • San Diego, CA
  • NPI 1275074288

  Community/Behavioral Health

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1184495020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3952D CLAIREMONT MESA BLVD # 387",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172714",
            "telephone_number": "619-215-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 DIANE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921171356",
            "telephone_number": "916-549-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMOTO ABA CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "OMOTO",
        "authorized_official_first_name": "MARTIN JASON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-215-1949",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Omholt, PHD., LMFT, SEP
• Mojdeh Omidi, L.AC.
• Shadi Omidi, M.D.
• Von Jared Omo
• Aisha Omorodion, MD
• Martin Jason Omoto, M.S., BCBA
• Omran MD Inc
• Hulya Julie Omran, DNP
• On Call Specialists Medical Group of San Diego, Inc.
• On Point Acupuncture & Wellness Center

• Community/Behavioral Health Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.