Active NPI
Kristen Taylor Martini, PA-C
- Physician Assistant
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA68100
- Practice address
- 2140 W Chapman Ave Ste 109
Orange, CA 92868-2331 - Phone
- (714) 881-7350
- NPI assigned
- Feb 23, 2026
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA68100 | CA | Primary |
Addresses
Primary practice location
2140 W Chapman Ave Ste 109
Orange, CA 92868-2331
Mailing address
2140 W Chapman Ave Ste 109
Orange, CA 92868-2331
Phone (714) 881-7350
Other practice location 1
1911 W Glenoaks Blvd Ste B
Glendale, CA 91201-4746
Phone (818) 843-6640
Other practice location 2
1901 W Badillo St
West Covina, CA 91790-1133
Phone (626) 962-5625
Other practice location 3
345 N Riverside Ave
Rialto, CA 92376-5925
Phone (909) 707-5920
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
9461 Charleville Blvd
Suite 500
Beverly Hills, CA 90212-3017
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Family Medicine | Current | Accepting new patients |
Locations
2140 W Chapman Ave
Ste 109
Orange, CA 92868
Phone (714) 881-7350
345 N Riverside Ave
Rialto, CA 92376
Phone (909) 707-5920
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JCBCBD
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.
-
- Family Medicine Physician
- Rialto, CA
- NPI 1053003087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1669326203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 W CHAPMAN AVE STE 109",
"city": "ORANGE",
"state": "CA",
"postal_code": "928682331",
"telephone_number": "714-881-7350",
"fax_number": "714-494-8485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 W CHAPMAN AVE STE 109",
"city": "ORANGE",
"state": "CA",
"postal_code": "928682331",
"telephone_number": "714-881-7350"
}
],
"practiceLocations": [
{
"address_1": "1911 W Glenoaks Blvd Ste B",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912014746",
"country_code": "US",
"telephone_number": "818-843-6640",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1901 W Badillo St",
"address_purpose": "LOCATION",
"city": "West Covina",
"state": "CA",
"postal_code": "917901133",
"country_code": "US",
"telephone_number": "626-962-5625",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "345 N Riverside Ave",
"address_purpose": "LOCATION",
"city": "Rialto",
"state": "CA",
"postal_code": "923765925",
"country_code": "US",
"telephone_number": "909-707-5920",
"fax_number": "909-707-5983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINI",
"first_name": "KRISTEN",
"middle_name": "TAYLOR",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-23",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA68100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.