Martin Jason Omoto, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3550 Camino del Rio N Ste 104
San Diego, CA 92108-1738

Phone

(760) 815-9968

NPI assigned

Mar 10, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Omoto ABA Consulting, LLC

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1184495020
  NPD Authorized official
• Coyne & Associates Education Corp

  • Behavior Analyst
  • San Diego, CA
  • NPI 1164786943
  NPD

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1275074288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 ENCINITAS BLVD STE 208",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246789",
            "telephone_number": "760-815-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 CAMINO DEL RIO N STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081738",
            "telephone_number": "760-815-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOTO",
        "first_name": "MARTIN JASON",
        "name_prefix": "Mr.",
        "credential": "M.S., BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-10",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mojdeh Omidi, L.AC.
• Shadi Omidi, M.D.
• Von Jared Omo
• Aisha Omorodion, MD
• Omoto ABA Consulting, LLC
• Omran MD Inc
• Hulya Julie Omran, DNP
• On Call Specialists Medical Group of San Diego, Inc.
• On Point Acupuncture & Wellness Center
• On Point Massage Therapy

• Behavior Analyst in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.