Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VIVIAN JACQUELINE MARTINEZ
NPI 1790613800
Family Medicine in Kingman, AZ

Q: What is Vivian Martinez's NPI number?

The NPI number for Vivian Martinez is 1790613800. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Q: What is Vivian Martinez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Vivian Martinez was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.

Active since May 11, 2026

1510 N STOCKTON HILL RD, KINGMAN, AZ 86401(928) 753-1177 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 27, 2026, May 11, 2026 (2 updates tracked since 2026).

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About Vivian Jacqueline Martinez NPPES

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

VIVIAN JACQUELINE MARTINEZ (NPI 1790613800) is an individual family medicine provider in Kingman, Arizona, licensed in Arizona (RN207971) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1790613800

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameVIVIAN JACQUELINE MARTINEZ

Location Address1510 N STOCKTON HILL RDKingman, AZ 86401-5173

Mailing Address1510 N Stockton Hill RdKingman, AZ 86401-5173 · (928) 753-1177

Phone(928) 753-1177

Sole ProprietorNo

Enumeration DateMay 11, 2026

Last NPPES UpdateAugust 27, 20262 updates tracked since enumeration

NPPES CertifiedAugust 27, 2026

✔ NPI 1790613800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · RN207971

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1510 N STOCKTON HILL RD, Kingman, AZ 86401

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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.

NORTH COUNTRY HEALTHCARE, INC.

Pharmacy (Clinic Pharmacy)