Individual provider Active NPI

Jeffrey B Mar, PHD

  • Clinical Psychologist
  • Torrance, CA
National Provider Identifier
1265535660
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY114970 Issued in CA
Practice address
2554 Woodbury Dr
Torrance, CA 90503-9364
Phone
(559) 281-1029
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY114970 CA Primary
Psychologist 103T00000X 0PL114970 CA

Addresses

Primary practice location

2554 Woodbury Dr
Torrance, CA 90503-9364

Mailing address

2554 Woodbury Dr
Torrance, CA 90503-9364
Phone (559) 281-1029

Other practice location 1

2511 W Shaw Ave Ste 101
Fresno, CA 93711-3325
Phone (559) 281-1029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111229000267 CA Practitioner - Clinical Psychologist 3274709019 Practice locations: Torrance, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Massachusetts Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Torrance, CA 90503
Phone (559) 905-8605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0PL114970CAMDPsychologist
PSY114970CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1265535660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2554 WOODBURY DR",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905039364",
            "telephone_number": "559-281-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 WOODBURY DR",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905039364",
            "telephone_number": "559-281-1029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2511 W Shaw Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113325",
            "country_code": "US",
            "telephone_number": "559-281-1029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAR",
        "first_name": "JEFFREY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY114970",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "0PL114970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.