Marcela's Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MARCELA'S HOME

Practice address

1969 N. Lilac Avenue
Rialto, CA 92376-2377

Phone

(415) 713-9267

NPI assigned

Jan 6, 2025

Last updated

Jan 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley Carbajal, REGISTERED NURSE

Title

Owner/Director of Nursing

Phone

(415) 713-9267

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1447069224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 S STATE COLLEGE BLVD APT 2041",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928066218",
            "telephone_number": "415-713-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1969 N. LILAC AVENUE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923762377",
            "telephone_number": "415-713-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELA'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "CARBAJAL",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER/DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "415-713-9267",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waahida Mansion
• Breana Vanessa Mantle
• Robert Gray Manuel, D.D.S.
• Katelyne Izel Mapua
• Marcela Congregate Living
• Marcelo Toledo DDS Inc
• Christie Lynne Marcial, MSW
• Monica Marciniak-Gross, B.A.
• Marissa M. Mariano-Mejia, M.D.
• Megan Marks

• Skilled Nursing Facility in Rialto, CA
• Providers in Rialto, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.