JACK RYAN MARTIN RADT
NPI 1417592817
Counselor - Addiction (Substance Use Disorder) in Torrance, CA

Active since November 10, 2019
3440 TORRANCE BLVD STE 104, TORRANCE, CA 90503(310) 787-1335(310) 787-1809 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 2, 2024, Jan 17, 2023, Nov 10, 2019 (3 updates tracked since 2019).

About Jack Ryan Martin Radt NPPES

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

JACK RYAN MARTIN RADT (NPI 1417592817) is an individual addiction (substance use disorder) provider in Torrance, California and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1417592817
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACK RYAN MARTINCredential: RADT
Location Address3440 TORRANCE BLVD STE 104Torrance, CA 90503-5805
Mailing Address3440 Torrance Blvd Ste 104Torrance, CA 90503-5805 · (310) 787-1335 · Fax (310) 787-1809
Fax(310) 787-1809
Sole ProprietorNo
Enumeration DateNovember 10, 2019
Last NPPES UpdateMay 2, 20243 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
NPI 1417592817 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
3440 TORRANCE BLVD STE 104, Torrance, CA 90503

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.

Counselor (Addiction (Substance Use Disorder))
3440 TORRANCE BLVD STE 104
TORRANCE, CA 90503
Marriage & Family Therapist
3440 TORRANCE BLVD STE 104
TORRANCE, CA 90503
Counselor (Addiction (Substance Use Disorder))
3440 TORRANCE BLVD STE 104
TORRANCE, CA 90503
Marriage & Family Therapist
3440 TORRANCE BLVD STE 104
TORRANCE, CA 90503
Counselor (Addiction (Substance Use Disorder))
3440 TORRANCE BLVD STE 104
TORRANCE, CA 90503
Counselor (Addiction (Substance Use Disorder))
3440 TORRANCE BLVD STE 104
TORRANCE, CA 90503
Counselor (Addiction (Substance Use Disorder))
3440 TORRANCE BLVD STE 104
TORRANCE, CA 90503
Marriage & Family Therapist
3440 TORRANCE BLVD STE 104
TORRANCE, CA 90503

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 Jack Martin's NPI number?

The NPI number for Jack Martin is 1417592817. It was assigned to this individual provider in the NPPES registry on November 10, 2019.

Where is Jack Martin located?

Jack Martin practices at 3440 Torrance Blvd Ste 104, Torrance, CA 90503. The listed phone number is (310) 787-1335.

What is Jack Martin'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 Jack Martin was last updated on May 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.