Individual provider Active NPI

Martina Louise Klein, M.D.

  • Psychiatry Physician
  • Vista, CA
National Provider Identifier
1366468548
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G77032 Issued in CA
Practice address
510 W Vista Way
Vista, CA 92083-5704
Phone
(760) 940-5050
Fax
(760) 940-5070
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G77032 CA Primary

Addresses

Primary practice location

510 W Vista Way
Vista, CA 92083-5704

Mailing address

PO Box 2517
Vista, CA 92085-2517

Other names 1

  • Martina Louise Fait Former name

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070815000653 CA Practitioner - Psychiatry 1052403409 Reassigns benefits to 2 organizations
Practice locations: San Marcos, CA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Systems, Inc. CurrentSince May 26, 2021 Accepting new patients
Sokyahealth Medical Group PC Psychiatry CurrentSince Dec 1, 2022 Accepting new patients
Mental Health Systems, Inc. Current Accepting new patients
Martina Klein PC Psychiatry CurrentSince Jan 6, 2021 Accepting new patients
Mental Health Systems, Inc. CurrentSince May 26, 2021 Accepting new patients
Shashita Inamdar MD Professional Corporation Psychiatry Past Accepting new patients

Locations

2386 Faraday Ave
Ste 111
Carlsbad, CA 92008

2386 Faraday Ave
Ste 110
Carlsbad, CA 92008
Phone (858) 427-5060

9465 Farnham St
San Diego, CA 92123
Phone (858) 576-4311

4283 El Cajon Blvd
Ste 115
San Diego, CA 92105
Phone (619) 521-1743

5060 Shoreham Pl
Ste 330
San Diego, CA 92122
Phone (619) 866-0998

Interoperability endpoints

  • Direct secure messaging: martina.klein.p1@direct.sokya.nextgenshare.com

Organizations & group practices 6

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1366468548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2517",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920852517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W VISTA WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835704",
            "telephone_number": "760-940-5050",
            "fax_number": "760-940-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "MARTINA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G77032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTINA",
            "last_name": "FAIT",
            "middle_name": "LOUISE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.