Jared Austin Martinez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3921 Howard Ave
Los Alamitos, CA 90720-3601

Phone

(562) 980-2400

NPI assigned

May 11, 2023

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

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1821788076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4952 WARNER AVE STE 300",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926495506",
            "telephone_number": "877-910-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 HOWARD AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203601",
            "telephone_number": "562-980-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JARED",
        "middle_name": "AUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Mbouni M.D a Medical Corporation
• Lisa Markouizos
• Paige Alexandra Marks, CADC I
• Zoe Martineau, BS, SLPA
• Stacey Martinelli
• Mina Masri, D.O.
• Cheryl Macahilus Mateo, NP
• Carla Marie Matos, C-SLPA
• Roni Yoshiko Matsumoto, D.C.
• Matt Reza Khoshnevis MD a Professional Corporation

• Behavior Technician in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.