MR. MARC HUGH GOTBAUM LMFT
NPI 1508952151
Marriage & Family Therapist in San Diego, CA

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
8787 COMPLEX DR, SUITE 200, SAN DIEGO, CA 92123(185) 857-1196(185) 857-1196 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Marc Hugh Gotbaum Lmft NPPES

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

MR. MARC HUGH GOTBAUM LMFT (NPI 1508952151) is an individual marriage & family therapist in San Diego, California, licensed in California (MFC 18875) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1508952151
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. MARC HUGH GOTBAUMCredential: LMFT
Location Address8787 COMPLEX DR, SUITE 200San Diego, CA 92123-1419
Mailing Address8787 Complex Dr, Suite 200San Diego, CA 92123-1419 · (619) 871-8446 · Fax (185) 857-1196
Fax(185) 857-1196
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508952151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFC 18875
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
8787 COMPLEX DR, San Diego, CA 92123

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Marc Hugh Gotbaum Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466995824
PECOS Enrollment IDI20240613004317
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Marc Gotbaum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
2271 ALPINE BLVD STE A
Alpine, CA 91901
  • Reassigned Medicare billing, California enrollment
  • 92 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

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

Dentist (General Practice)
8787 COMPLEX DR, SUITE 100
SAN DIEGO, CA 92123
Psychiatry & Neurology (Psychiatry)
8787 COMPLEX DR, SUITE 200
SAN DIEGO, CA 92123
Rehabilitation Practitioner
8787 COMPLEX DR
SAN DIEGO, CA 92123
Case Management
8787 COMPLEX DR, SUITE 130
SAN DIEGO, CA 92123
Chiropractor
8787 COMPLEX DR, STE 204
SAN DIEGO, CA 92123
Case Management
8787 COMPLEX DR, 130
SAN DIEGO, CA 92123
Behavior Technician
8787 COMPLEX DR
SAN DIEGO, CA 92123
Dentist (General Practice)
8787 COMPLEX DR, SUITE 100
SAN DIEGO, CA 92123

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 Marc Gotbaum's NPI number?

The NPI number for Marc Gotbaum is 1508952151. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Marc Gotbaum located?

Marc Gotbaum practices at 8787 Complex Dr Suite 200, San Diego, CA 92123. The listed phone number is (185) 857-1196.

What is Marc Gotbaum's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Marc Gotbaum enrolled in Medicare?

Yes. Marc Gotbaum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Marc Gotbaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Gotbaum reassigns Medicare benefits to Fusion Care Group, A Psychological Professional Corporation (Alpine, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marc Gotbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marc Gotbaum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.