Individual provider Active NPI

Rhealyn Culala Marciano

  • Nurse Practitioner
  • Palmdale, CA
National Provider Identifier
1558053595
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95025359 Issued in CA
Practice address
1037 W Avenue N Ste 102
Palmdale, CA 93551-2002
Phone
(213) 910-7962
NPI assigned
May 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95025359 CA Primary

Addresses

Primary practice location

1037 W Avenue N Ste 102
Palmdale, CA 93551-2002

Mailing address

2511 Candleberry Way
Palmdale, CA 93551-6130
Phone (213) 910-7962

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

State licenses

LicenseStateTypeSpecialty
95025359CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1558053595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 CANDLEBERRY WAY",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935516130",
            "telephone_number": "213-910-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 W AVENUE N STE 102",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935512002",
            "telephone_number": "213-910-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCIANO",
        "first_name": "RHEALYN",
        "middle_name": "CULALA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.