Individual provider Active NPI

Kristen Taylor Martini, PA-C

  • Physician Assistant
  • Orange, CA
National Provider Identifier
1669326203
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA68100 Issued in CA
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

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260518000841 CA Practitioner - Physician Assistant 2062981251 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Elite Family Medicine CurrentSince Jun 25, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.