Active NPI
Stephen Martinez, AUD PHD
- Audiologist-Hearing Aid Fitter
- Long Beach, CA
National Provider Identifier
1902864655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AU1232
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU0012320 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| AU1232 | CA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hear Well Centers | Audiologist-Hearing Aid Fitter | Current | Accepting new patients |
| Hear Well Center | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Hear Well Center | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Hear Well Center | Audiologist-Hearing Aid Fitter | Past | 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.
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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.