Jose L Martin

Individual provider Active NPI Marriage & Family Therapist · Fillmore, CA

NPI 1780958488 · NPPES record last updated Jul 15, 2026

Key facts

NPI
1780958488
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
155880 (CA)
Practice address
716 Edison LN
Fillmore, CA 93015-1010
Phone
(805) 586-1152
NPI assigned
Feb 28, 2012
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 155880 CA Yes

Addresses

Primary practice location

716 Edison LN
Fillmore, CA 93015-1010

Mailing address

716 Edison LN
Fillmore, CA 93015-1010
Phone (805) 445-7800

Other providers in Fillmore, CA

All providers in Fillmore, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.