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MR. MARCO MARTINEZ RADT
NPI 1043820202
Counselor - Addiction (Substance Use Disorder) in Campo, CA

Active since August 03, 2020
1777 BUCKMAN SPRINGS RD, CAMPO, CA 91906(619) 478-5696(619) 478-2404 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 15, 2023, Aug 3, 2020 (2 updates tracked since 2020).

About Mr. Marco Martinez Radt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARCO MARTINEZ RADT (NPI 1043820202) is an individual addiction (substance use disorder) provider in Campo, California, licensed in California (R1506860523) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1043820202
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. MARCO MARTINEZCredential: RADT
Location Address1777 BUCKMAN SPRINGS RDCampo, CA 91906-2022
Mailing Address1777 Buckman Springs RdCampo, CA 91906-2022 · (619) 478-5696 · Fax (619) 478-2404
Phone(619) 478-5696
Fax(619) 478-2404
Sole ProprietorNo
Enumeration DateAugust 3, 2020
Last NPPES UpdateMay 15, 20232 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
✔ NPI 1043820202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1506860523
1777 BUCKMAN SPRINGS RD, Campo, CA 91906
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OMAR HERNANDEZ RADT
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
JONATHAN SANDOVAL CCMA
Physician Assistant
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
CORINNA D. BYNUM RN
Registered Nurse (Administrator)
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
TIM SHAPLIN RADT
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
SAN DIEGO FREEDOM RANCH, INC.
Substance Abuse Rehabilitation Facility
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
CARLOS ALBERTO RAMIREZ RADT
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
CHRISTOPHER DAVID SERNA CPSS
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
CHANTAL CAMARENA RADT
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marco Martinez's NPI number?

The NPI number for Marco Martinez is 1043820202. It was assigned to this individual provider in the NPPES registry on August 3, 2020.

Where is Marco Martinez located?

Marco Martinez practices at 1777 Buckman Springs Rd, Campo, CA 91906. The listed phone number is (619) 478-5696.

What is Marco Martinez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Marco Martinez was last updated on May 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.