Individual provider Active NPI

Luis Benjamin Martinez, MS, LMFT

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1295270593
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT115575 Issued in CA
Practice address
8608 Utica Ave Ste 211
Rancho Cucamonga, CA 91730-4879
Phone
(951) 990-0178
NPI assigned
Dec 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF95768 CA
Marriage & Family Therapist 106H00000X LMFT115575 CA Primary

Addresses

Primary practice location

8608 Utica Ave Ste 211
Rancho Cucamonga, CA 91730-4879

Mailing address

8608 Utica Ave Ste 211
Rancho Cucamonga, CA 91730-4879
Phone (951) 990-0178

Other practice location 1

780 E Gilbert St
San Bernardino, CA 92415-1003
Phone (951) 534-7578

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
I20260504006596 CA Practitioner - Marriage and Family Therapist 3870060460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9087 Arrow Rte
Suite 275
Rancho Cucamonga, CA 91730-4478
Phone (951) 990-0178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMF95768CAMDMarriage & Family Therapist
LMFT115575CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cave Clinical Services a LMFT Corporation Marriage & Family Therapist Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1295270593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8608 UTICA AVE STE 211",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304879",
            "telephone_number": "951-990-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8608 UTICA AVE STE 211",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304879",
            "telephone_number": "951-990-0178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 E Gilbert St",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924151003",
            "country_code": "US",
            "telephone_number": "951-534-7578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LUIS",
        "middle_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-22",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF95768",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT115575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.