Martha S Crisostomo

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D1090838 Issued in CA

Legal business name

MARTHA S CRISOSTOMO

Doing business as

ultimate results

Practice address

1000 W 4TH St
Suite 375
Ontario, CA 91762-1811

Phone

(909) 684-2022

NPI assigned

Nov 10, 2008

Organization subpart

No

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

Authorized official

Name

Martha S Crisostomo

Title

Owner

Phone

(909) 684-2022

Specialties & licenses 1

Addresses

Other names 1

• ultimate results Doing business as

Locations

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1073767620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W 4TH ST",
            "address_2": "SUITE 375",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917621811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W 4TH ST",
            "address_2": "SUITE 375",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917621811",
            "telephone_number": "909-684-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA S CRISOSTOMO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "CRISOSTOMO",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-684-2022"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D1090838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ultimate results",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marsell Wellness Center
• Marshall Advanced Nursing Practice PC
• Ashley Marshall
• Michael Marshall, APRN, PMHNP
• Trevor Marshall
• Catherine Lynn Martin, PSYCHIATRIC TECH
• Christopher Lee Martin
• Julia Maxeen Martin
• Justin Martin
• Kendra Martin

• Clinical Medical Laboratory in Ontario, CA
• Providers in Ontario, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.