Individual provider Active NPI

Marlene Malaguit De Castro, R.N.

  • Home Health Registered Nurse
  • Arcadia, CA
National Provider Identifier
1093029423
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
457539 Issued in CA
Practice address
159 E Huntington Dr
Unit 4
Arcadia, CA 91006-3224
Phone
(626) 446-5468
Fax
(626) 446-7068
NPI assigned
Jul 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 457539 CA Primary

Addresses

Primary practice location

159 E Huntington Dr
Unit 4
Arcadia, CA 91006-3224

Mailing address

159 E Huntington Dr
Unit 4
Arcadia, CA 91006-3224
Phone (626) 446-5468

Other identifiers 1

IdentifierTypeStateIssuer
05-9163MedicaidCA

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
457539CAMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Marlene Malaguit de Castro PastSince Aug 1, 2013 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1093029423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 E HUNTINGTON DR",
            "address_2": "UNIT 4",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063224",
            "telephone_number": "626-446-5468",
            "fax_number": "626-446-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 E HUNTINGTON DR",
            "address_2": "UNIT 4",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063224",
            "telephone_number": "626-446-5468",
            "fax_number": "626-446-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE CASTRO",
        "first_name": "MARLENE",
        "middle_name": "MALAGUIT",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "457539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05-9163",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.