Individual provider Active NPI

Marie Ann Sy Maula, RN, BSN, PHN

  • Otorhinolaryngology & Head-Neck Registered Nurse
  • San Diego, CA
National Provider Identifier
1437771367
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otorhinolaryngology & Head-Neck Registered NurseTaxonomy code 163WX0601X
License
641205 Issued in CA
Practice address
9376 Galvin Ave
San Diego, CA 92126-4890
Phone
(619) 246-0440
NPI assigned
May 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otorhinolaryngology & Head-Neck Registered Nurse 163WX0601X 641205 CA Primary

Addresses

Primary practice location

9376 Galvin Ave
San Diego, CA 92126-4890

Mailing address

9376 Galvin Ave
San Diego, CA 92126-4890
Phone (619) 246-0440

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
641205CAMDOtorhinolaryngology & Head-Neck Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1437771367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9376 GALVIN AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264890",
            "telephone_number": "619-246-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9376 GALVIN AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264890",
            "telephone_number": "619-246-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULA",
        "first_name": "MARIE ANN",
        "middle_name": "SY",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0601X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Otorhinolaryngology & Head-Neck",
            "state": "CA",
            "license": "641205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.