Martina Nuhu Kashalla

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95009537 Issued in CA

Practice address

405 E Buena Vista St
Barstow, CA 92311-2815

Phone

(818) 895-3100

NPI assigned

Aug 14, 2018

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Mission City Community Network, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hollywood, CA
  • NPI 1710102009
  Medicare reassignment NPD
• Mission City Community Network, Inc.

  • Community Health Clinic/Center
  • North Hills, CA
  • NPI 1710370747
  NPD
• Mission City Community Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Barstow, CA
  • NPI 1790133379
  NPD (past)

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1831678465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E BUENA VISTA ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112815",
            "telephone_number": "818-895-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E BUENA VISTA ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112815",
            "telephone_number": "818-895-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHALLA",
        "first_name": "MARTINA",
        "middle_name": "NUHU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leila Stephane Joseph, DO
• JS Anesthesia and Pain Mangement
• K.a. Richardt DDS a Professional Corp
• Dongwan Kang, DDS
• Molly Kantz
• Janice Fay Kea
• Cheyenne Lee Annie Kemp, AMFT
• Richard Kennedy, O.D.
• Robin Elizabeth Kennedy
• Kenneth P Dizon D.O Inc

• Family Nurse Practitioner in Barstow, CA
• Providers in Barstow, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.