Individual provider Active NPI

Cristian Martinez, FNP

  • Family Nurse Practitioner
  • Coachella, CA
National Provider Identifier
1548664022
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95035083 Issued in CA
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

Updated by the provider on May 16, 2025

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 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 Former name

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

LicenseStateTypeSpecialty
95035083CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Coachella, Inc CurrentSince May 18, 2025 Accepting new patients

Locations

51544 Harrison St
Coachella, CA 92236

51544 Harrison St
Ste 1D
Coachella, CA 92236
Phone (760) 861-1436

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.