Individual provider Active NPI

Christina Souther Martin, MD

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1023351889
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A156794 Issued in CA
Practice address
1300 N Vermont Ave
#704
Los Angeles, CA 90027
Phone
(310) 526-0290
Fax
(310) 526-0290
NPI assigned
Mar 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 19658 HI
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X A156794 CA Primary

Addresses

Primary practice location

1300 N Vermont Ave
#704
Los Angeles, CA 90027

Mailing address

PO Box 16162
Beverly Hills, CA 90209
Phone (310) 526-0290

Other practice location 1

1356 Lusitana St Ste 510
Honolulu, HI 96813-2409
Phone (808) 586-2890

Other practice location 2

1301 Punchbowl St
Honolulu, HI 96813-2499
Phone (808) 298-7258

Other names 1

  • Christina Souther Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180810002073 HI Practitioner - General Surgery 8628326329 Reassigns benefits to 1 organization
I20190403002643 CA Practitioner - General Surgery 8628326329 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Emory University School of Medicine, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5901 W Olympic Blvd
Suite 504
Los Angeles, CA 90036-4633
Phone (310) 526-0290

Hospital & facility affiliations

  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063
  • Los Angeles Community Hospital Hospital, Los Angeles, CA, CCN 050663

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A156794CAMDSurgery Physician
19658HIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Queen'S Medical Center CurrentSince Aug 15, 2018 Accepting new patients
The Queens Medical Center CurrentSince Aug 15, 2018 Accepting new patients
Pouya Benyamini MD Inc Surgery PastSince Mar 20, 2025 Accepting new patients

Locations

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1023351889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16162",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90209",
            "telephone_number": "310-526-0290",
            "fax_number": "310-526-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE",
            "address_2": "#704",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90027",
            "telephone_number": "310-526-0290",
            "fax_number": "310-526-0290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1356 Lusitana St Ste 510",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132409",
            "country_code": "US",
            "telephone_number": "808-586-2890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Punchbowl St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132499",
            "country_code": "US",
            "telephone_number": "808-298-7258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHRISTINA",
        "middle_name": "SOUTHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-30",
        "last_updated": "2025-03-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "HI",
            "license": "19658",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A156794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "SOUTHER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.