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DR. BENNY JOE MARTIN DO NPI 1619975232


NPI Information

NPI: 1619975232
Provider Name: DR. BENNY JOE MARTIN, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
400 CRAVEN RD
SAN MARCOS, CA
ZIP 92078
Phone: (800) 290-5000
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DR. Benny Joe Martin, DO is a family medicine in San Marcos, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Benny Joe Martin, DO NPI is 1619975232. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 CRAVEN RD
SAN MARCOS, CA
ZIP 92078-201
Phone: (800) 290-5000

The enumeration date for this NPI number is 7/8/2005 and was last updated on 2/23/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine20A12203CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H08593MEDICARE UPIN
2100256740DMEDICAIDOKLAHOMA
3K29947MEDICARE PINILLINOIS
4036114292MEDICAIDILLINOIS
506032182OTHERILLINOISBLUE CROSS BLUE SHIELD
6J002201046MEDICARE ID-TYPE UNSPECIFIEDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.