David Heredia Martinez

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT130242 Issued in CA

Practice address

149 Pasadena Ave Ste a
South Pasadena, CA 91030-3351

Phone

(323) 274-3065

NPI assigned

Sep 10, 2014

Last updated

Feb 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hillsides

  • Adolescent and Children Mental Health Clinic/Center
  • South Pasadena, CA
  • NPI 1902920176
  NPD
• Hillsides

  • Adolescent and Children Mental Health Clinic/Center
  • Los Angeles, CA
  • NPI 1508983776
  NPD (past)

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1750782520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 AVENUE 64",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052711",
            "telephone_number": "323-254-2274",
            "fax_number": "323-978-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 PASADENA AVE STE A",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303351",
            "telephone_number": "323-274-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "DAVID",
        "middle_name": "HEREDIA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-10",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT130242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Alonzo Marroquin
• Danielle Simone Marrufo
• Jeannette Yvette Martello, M.D.
• Mitzy Martin del Campo
• Martin Galstuan Dental Corporation (Dentists of South Pasadena Dental Group)
• Dolores Martinez
• Eufel Ramos Martinez
• Jazmine Martinez
• Karina Martinez
• Livier Martinez, LCSW

• Marriage & Family Therapist in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.