Individual provider Active NPI

Stephen Martinez, AUD PHD

  • Audiologist-Hearing Aid Fitter
  • Long Beach, CA
National Provider Identifier
1902864655
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU1232 Issued in CA
Practice address
3605 Long Beach Blvd., Ste. #110
Long Beach, CA 90807-4013
Phone
(562) 989-8101
Fax
(562) 989-8119
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AU1232 CA Primary

Addresses

Primary practice location

3605 Long Beach Blvd., Ste. #110
Long Beach, CA 90807-4013

Mailing address

3605 Long Beach Blvd., Ste. #110
Long Beach, CA 90807-4013
Phone (562) 989-8101

Other identifiers 1

IdentifierTypeStateIssuer
AU0012320MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050428001303 CA Practitioner - Qualified Audiologist 7315986247 Reassigns benefits to 1 organization
Practice locations: Los Alamitos, CA; Long Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3605 Long Beach Blvd
Suite 110
Long Beach, CA 90807-4023
Phone (562) 989-8101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AU1232CAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Hear Well Centers Audiologist-Hearing Aid Fitter Current Accepting new patients
Hear Well Center Audiologist-Hearing Aid Fitter PastSince Jan 1, 1990 Accepting new patients
Hear Well Center Audiologist-Hearing Aid Fitter PastSince Jan 1, 1990 Accepting new patients
Hear Well Center Audiologist-Hearing Aid Fitter PastSince Jan 1, 1990 Accepting new patients

Locations

3605 Long Beach Blvd
Ste 110
Long Beach, CA 90807
Phone (562) 427-2006

4218 Katella Ave
Los Alamitos, CA 90720
Phone (562) 446-0021

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1902864655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 LONG BEACH BLVD., STE. #110",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074013",
            "telephone_number": "562-989-8101",
            "fax_number": "562-989-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 LONG BEACH BLVD., STE. #110",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074013",
            "telephone_number": "562-989-8101",
            "fax_number": "562-989-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "STEPHEN",
        "credential": "AUD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU1232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0012320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.