Active NPI
Cristian Martinez, FNP
- Family Nurse Practitioner
- Coachella, CA
National Provider Identifier
1548664022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95035083
- Practice address
- 51544 Cesar Chavez St Ste 1D
Coachella, CA 92236-1504 - Phone
- (760) 861-1436
- NPI assigned
- Oct 13, 2014
- Reactivated
- Jan 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95035083 | CA | Primary |
Addresses
Primary practice location
51544 Cesar Chavez St Ste 1D
Coachella, CA 92236-1504
Mailing address
51544 Cesar Chavez St
Coachella, CA 92236-1501
Phone (760) 861-1436
Other names 1
- Cristian Vargas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95035083 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Coachella, Inc | Current | Accepting new patients |
Locations
51544 Harrison St
Coachella, CA 92236
51544 Harrison St
Ste 1D
Coachella, CA 92236
Phone (760) 861-1436
Interoperability endpoints
- cristian.martinez.p61@direct.mydohc.nextgenshare.com
Organizations & group practices 1
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.
-
- Clinic/Center
- Coachella, CA
- NPI 1063962538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1548664022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51544 CESAR CHAVEZ ST",
"city": "COACHELLA",
"state": "CA",
"postal_code": "922361501",
"telephone_number": "760-861-1436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51544 CESAR CHAVEZ ST STE 1D",
"city": "COACHELLA",
"state": "CA",
"postal_code": "922361504",
"telephone_number": "760-861-1436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "CRISTIAN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-13",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"deactivation_date": "2016-11-23",
"reactivation_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95035083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRISTIAN",
"last_name": "VARGAS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Coachella, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.