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CRYSTAL MARTIN PA
NPI 1003577768
Physician Assistant in Tustin, CA

Active since January 05, 2022PECOS Enrolled
661 W 1ST ST STE G, TUSTIN, CA 92780(714) 665-9890(714) 665-9891 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2024, Jun 6, 2024, Feb 28, 2023 and 1 more (4 updates tracked since 2022).

About Crystal Martin Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL MARTIN PA (NPI 1003577768) is an individual physician assistant in Tustin, California, licensed in California (PA61320) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003577768
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCRYSTAL MARTINCredential: PA
Location Address661 W 1ST ST STE GTustin, CA 92780-2939
Mailing Address661 W 1st St Ste GTustin, CA 92780-2939 · (714) 665-9890 · Fax (714) 665-9891
Phone(714) 665-9890
Fax(714) 665-9891
Sole ProprietorYes
Enumeration DateJanuary 5, 2022
Last NPPES UpdateOctober 23, 20254 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1003577768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA61320
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
661 W 1ST ST STE G, Tustin, CA 92780
Open in Google Maps ↗

Secondary Practice Locations 2

Location 19918 Katella Ave Ste A-CAnaheim, CA 92804-6465 · Phone (714) 644-9494 · Fax (714) 644-9894
Location 211180 Warner Ave Ste 353Fountain Valley, CA 92708-7516 · Phone (714) 968-6789 · Fax (714) 202-2626

Other Identifiers 1

Medicaid951641454CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Martin Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92780 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE ROLLE NOCHE NP
Nurse Practitioner (Women's Health)
661 W 1ST ST STE G
TUSTIN, CA 92780
Orange County (714) 665-9890
EILEEN MARTHA GOMEZ NP
Nurse Practitioner (Family)
661 W 1ST ST STE G
TUSTIN, CA 92780
Orange County (714) 665-9890
DR. ROBERT J BORROWDALE M.D.
Obstetrics & Gynecology
661 W 1ST ST STE G
TUSTIN, CA 92780
Orange County (714) 665-9890
MR. CARLOS GUERRERO PA-C
Physician Assistant
661 W 1ST ST STE G
TUSTIN, CA 92780
Orange County (714) 665-9890
CHRISTINA VO FURUYA NP
Nurse Practitioner (Family)
661 W 1ST ST STE G
TUSTIN, CA 92780
Orange County (714) 665-9890
FAMILIES TOGETHER OF ORANGE COUNTY
Clinic/Center (Primary Care)
661 W 1ST ST STE G
TUSTIN, CA 92780
Orange County (714) 665-9890
TODD NGUYEN NP
Nurse Practitioner
661 W 1ST ST STE G
TUSTIN, CA 92780
Orange County (714) 665-9890
MINDY THANH PHAN PA-C
Physician Assistant
661 W 1ST ST STE G
TUSTIN, CA 92780
Orange County (714) 665-9890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Martin's NPI number?

The NPI number for Crystal Martin is 1003577768. It was assigned to this individual provider in the NPPES registry on January 5, 2022.

Where is Crystal Martin located?

Crystal Martin practices at 661 W 1st St Ste G, Tustin, CA 92780. The listed phone number is (714) 665-9890.

What is Crystal Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Crystal Martin enrolled in Medicare?

Yes. Crystal Martin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Crystal Martin was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.