MARIAH NICOLE MARTIN
NPI 1093695108
Nurse Practitioner - Family in Palmdale, CA

Active since September 08, 2025
627 W AVENUE Q STE D, PALMDALE, CA 93551(661) 272-5656(661) 272-0909 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mariah Nicole Martin NPPES

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

MARIAH NICOLE MARTIN (NPI 1093695108) is an individual family provider in Palmdale, California, licensed in California (95117432) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1093695108
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIAH NICOLE MARTIN
Location Address627 W AVENUE Q STE DPalmdale, CA 93551-3891
Mailing Address5809 W Avenue K14Lancaster, CA 93536-5629
Fax(661) 272-0909
Sole ProprietorYes
Enumeration DateSeptember 8, 2025
NPPES CertifiedSeptember 8, 2025
NPI 1093695108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95117432
627 W AVENUE Q STE D, Palmdale, CA 93551

Other Providers at the Same Location NPPES 2

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

Pediatrics
627 W AVENUE Q STE D
PALMDALE, CA 93551
Nurse Practitioner (Family)
627 W AVENUE Q STE D
PALMDALE, CA 93551

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 Mariah Martin's NPI number?

The NPI number for Mariah Martin is 1093695108. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is Mariah Martin located?

Mariah Martin practices at 627 W Avenue Q Ste D, Palmdale, CA 93551. The listed phone number is (661) 272-5656.

What is Mariah Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mariah Martin was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.