Mariah Nicole Martin

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95117432 Issued in CA

Practice address

627 W Avenue Q Ste D
Palmdale, CA 93551-3891

Phone

(661) 272-5656

Fax

(661) 272-0909

NPI assigned

Sep 8, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1093695108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5809 W AVENUE K14",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 W AVENUE Q STE D",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513891",
            "telephone_number": "661-272-5656",
            "fax_number": "661-272-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MARIAH",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95117432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyza Martell Barahona, CASE MANAGER
• Julie Eve Martin Aguilar, NONE
• Andre Douglas Martin
• Colleen Tiffany Martin
• Jeanette Reene Martin
• Sandra Martin
• Melisa Eugenia Martinez- Sosa, MA LMFT
• Jocelyn Melissa Martinez-Johnson, RN
• Adrian Giani Martinez, DPT
• Adriana Guadalupe Martinez, B.A.

• Family Nurse Practitioner in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.