Maryvale

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MARYVALE

Practice address

2502 E. Huntington Dr
Duarte, CA 91010-2221

Phone

(626) 263-9133

NPI assigned

Oct 16, 2025

Organization subpart

Yes

Parent organization

MARYVALEAs reported in NPPES

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

Authorized official

Name

Michele Valencia

Title

Billing Specialist

Phone

(626) 280-6510

Specialties & licenses 2

Addresses

Tax ID family

United States Catholic Conference Maryvale2 organizations share this tax ID, including this one

Part of

United States Catholic Conference Maryvale

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Maryvale

  • Community/Behavioral Health Agency
  • Rosemead, CA
  • NPI 1568159911
  NPD tax ID

Locations

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1174499123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 HUNTINGTON DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102221",
            "telephone_number": "626-263-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 E. HUNTINGTON DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102221",
            "telephone_number": "626-263-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVALE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYVALE",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "626-280-6510"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Martinez
• Karen Edith Martinez, FNP
• Karen Patricia Martinez, PA-C
• Matthew Albert Martinez
• Robert Max Martinez, MPAP, PA-C
• Maryvale
• Erminia Massarelli, MD
• Marlon Mateo
• Jaisha Mathew, M.D.
• Stan Mathioulakis, MD

• Community/Behavioral Health Agency in Duarte, CA
• Providers in Duarte, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.