Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Misty Marie Martin

Individual provider Community Health Worker · NPI 1508495334

Misty Marie Martin is a Community Health Worker in Riverside, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
3

Practice location Address checks out

2085 Rustin Ave
Riverside, CA 92507-2498
Phone: (951) 329-6580
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence VEYZCRILABDTNOKJ (CA)
Community Health Worker Taxonomy 172V00000X
Counselor Taxonomy 101Y00000X (CA)

Record details

NPI number1508495334
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2020
Last updated in NPPESMay 7, 2024
Certification dateMay 7, 2024

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