Healthcare Provider Details

I. General information

NPI: 1528983590
Provider Name (Legal Business Name): MARTHA LUCIA BELTRAN AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 BIRCH ST
OAKLAND CA
94621-2313
US

IV. Provider business mailing address

1939 DIVISADERO ST STE 4C
SAN FRANCISCO CA
94115-2507
US

V. Phone/Fax

Practice location:
  • Phone: 415-569-2477
  • Fax:
Mailing address:
  • Phone: 415-569-2477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number157400
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: