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

Staci Lynn Martinez

Individual provider Registered Nurse · NPI 1790490936

Staci Lynn Martinez is a Certified Registered Nurse Anesthetist (CRNA) in Colton, California. Graduated from University of Tennessee, Hsc, College of Medicine in 2023, 3 years ago. Practices with Sda Services of Ca, a 68-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama and California.

Years since qualifying
3
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
AL, CA
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

400 N Pepper Ave
Colton, CA 92324-1819
Phone: (909) 580-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 619 19th St S, Birmingham, AL 35233-1900 — (205) 934-4011

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95002202 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95321628 (CA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 1-205971 (AL)

Record details

NPI number1790490936
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 23, 2023
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing address27258 Red Willow Ct, Valencia, CA 91381-2171

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Sda Services Of Ca — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Colton