Individual provider Active NPI

Martin Saldana

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1932437860
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
69583 Issued in CA
Practice address
2535 Kettner Blvd
Suite 1A4
San Diego, CA 92101-1250
Phone
(619) 615-0701
Fax
(619) 615-0705
NPI assigned
Dec 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 69583 CA Primary

Addresses

Primary practice location

2535 Kettner Blvd
Suite 1A4
San Diego, CA 92101-1250

Mailing address

2535 Kettner Blvd
Suite 1A4
San Diego, CA 92101-1250
Phone (619) 615-0701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912004619 CA Practitioner - Marriage and Family Therapist 8921548207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69583CAMDMarriage & Family Therapist
52445CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Jul 5, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 5, 2024 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients

Locations

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

Organizations & group practices 3

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": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1932437860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 KETTNER BLVD",
            "address_2": "SUITE 1A4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011250",
            "telephone_number": "619-615-0701",
            "fax_number": "619-615-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 KETTNER BLVD",
            "address_2": "SUITE 1A4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011250",
            "telephone_number": "619-615-0701",
            "fax_number": "619-615-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALDANA",
        "first_name": "MARTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-04",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "69583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.