Martin Marks, RADT I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1408211020 Issued in CA

Practice address

1530 Dale St
San Diego, CA 92102-1519

Phone

(619) 915-5710

Fax

(619) 915-5711

NPI assigned

May 13, 2021

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

Other names 1

• Marvin Marks Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family Health Centers of San Diego Inc

  dba Fifth Avenue Behavioral Health Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1538590781
  NPD (past)
• Pathfinders of San Diego

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1285138230
  NPD (past)

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1689248809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 DALE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021519",
            "telephone_number": "619-915-5710",
            "fax_number": "619-915-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 DALE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021519",
            "telephone_number": "619-915-5710",
            "fax_number": "619-915-5711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 5th Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921012754",
            "country_code": "US",
            "telephone_number": "619-515-2588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKS",
        "first_name": "MARTIN",
        "credential": "RADT I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-13",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1408211020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARVIN",
            "last_name": "MARKS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julie Markowitz
• Whitney Markowitz, NP
• Sandra J. Markowski, MD
• Carly Marks
• Eilene A. Marks, L. V. N.
• Robert M Marks, M.D.
• Samantha Marks, RD
• Anna Markson, OD
• Getina Marku, RDH
• Markus Ploesser MD Inc. (BeyondTherapySD)

• Addiction (Substance Use Disorder) Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.