Active NPI
Rebecca Lyn Marculescu, AU.D.
- Audiologist
- San Mateo, CA
National Provider Identifier
1043331713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU-2429
- Practice address
- 100 S Ellsworth Ave
303
San Mateo, CA 94401-3939 - Phone
- (650) 579-4470
- Fax
- (650) 579-4471
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU-2429 | CA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | HA-7068 |
Addresses
Primary practice location
100 S Ellsworth Ave
303
San Mateo, CA 94401-3939
Mailing address
100 S Ellsworth Ave
303
San Mateo, CA 94401-3939
Phone (650) 579-4470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU-2429 | CA | MD | Audiologist |
| 2429 | CA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1043331713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S ELLSWORTH AVE",
"address_2": "303",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013939",
"telephone_number": "650-579-4470",
"fax_number": "650-579-4471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S ELLSWORTH AVE",
"address_2": "303",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013939",
"telephone_number": "650-579-4470",
"fax_number": "650-579-4471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCULESCU",
"first_name": "REBECCA",
"middle_name": "LYN",
"name_prefix": "Ms.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU-2429",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": "HA-7068",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.