Individual provider Active NPI

Marie Kristin Firmalino Frial, NP-C

  • Family Nurse Practitioner
  • Lancaster, CA
National Provider Identifier
1255997045
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011791 Issued in CA
Practice address
340 E Avenue I Ste 108
Lancaster, CA 93535-1941
Phone
(661) 729-8655
Fax
(661) 949-3538
NPI assigned
May 16, 2019
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95011791 CA Primary

Addresses

Primary practice location

340 E Avenue I Ste 108
Lancaster, CA 93535-1941

Mailing address

340 E Avenue I Ste 108
Lancaster, CA 93535-1941
Phone (661) 729-8655

Other names 1

  • Kristin Caridad Firmalino Frial Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230209002148 CA Practitioner - Nurse Practitioner 3971975475 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95011791CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bartz-Altadonna Community Health Center CurrentSince Oct 10, 2022 Accepting new patients
Bartz-Altadonna Community Health Center CurrentSince Oct 10, 2022 Accepting new patients

Locations

43322 Gingham Ave
Lancaster, CA 93535
Phone (661) 579-9317

43322 Gingham Ave
Ste 105
Lancaster, CA 93535
Phone 6618744050222

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1255997045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E AVENUE I STE 108",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935351941",
            "telephone_number": "661-729-8655",
            "fax_number": "661-949-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E AVENUE I STE 108",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935351941",
            "telephone_number": "661-729-8655",
            "fax_number": "661-949-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIAL",
        "first_name": "MARIE KRISTIN",
        "middle_name": "FIRMALINO",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN CARIDAD",
            "last_name": "FRIAL",
            "middle_name": "FIRMALINO",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.