Stacie Ann Martin, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95039923 Issued in CA

Practice address

516 W Aten Rd Ste 2
Imperial, CA 92251-9805

Phone

(619) 961-8799

Fax

(760) 355-7731

NPI assigned

Jul 9, 2026

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1538087218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6154 CARLING WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921155528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W ATEN RD STE 2",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922519805",
            "telephone_number": "619-961-8799",
            "fax_number": "760-355-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "STACIE",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95039923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizbeth Lopez
• Danielle Madrigal
• Raul Alex Mancilla, O.D.
• Manzana Family Medicine LLC
• Mari Carlo Manzana, M.D., Inc.
• Tyler Sanga Martin, NP
• Carlos Martinez Calderon, DDS
• Kameron Martinez
• Monica Romo Martinez
• Masoud Afshar MD Inc

• Nurse Practitioner in Imperial, CA
• Providers in Imperial, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.