Individual provider Active NPI

Marien Guadalupe Zavala, AGAC-NP

  • Nurse Practitioner
  • Signal Hill, CA
National Provider Identifier
1780163188
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95009649 Issued in CA
Practice address
2855 Temple Ave Ste B
Signal Hill, CA 90755-2212
Phone
(562) 426-7500
Fax
(562) 424-9588
NPI assigned
Aug 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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 95009649 CA Primary

Addresses

Primary practice location

2855 Temple Ave Ste B
Signal Hill, CA 90755-2212

Mailing address

2618 E Adams St
Long Beach, CA 90810-1503
Phone (562) 704-9893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200324003220 CA Practitioner - Nurse Practitioner 4082042080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ab Safe Haven Palliative and Hospice Care IncGroup PAC ID 8921285727, 4 clinicians

Practice addresses (Care Compare)

2855 Temple Ave
Suite B
Signal Hill, CA 90755-2212
Phone 5624267500427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95009649CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ab Safe Haven Palliative & Hospice Care, Inc. CurrentSince Oct 9, 2024 Accepting new patients
Hospice Care of America, LLC PastSince Sep 4, 2022 Accepting new patients

Locations

2855 Temple Ave
Ste B
Signal Hill, CA 90755
Phone (562) 426-7500

Organizations & group practices 2

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": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1780163188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 E ADAMS ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908101503",
            "telephone_number": "562-704-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 TEMPLE AVE STE B",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552212",
            "telephone_number": "562-426-7500",
            "fax_number": "562-424-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "MARIEN",
        "middle_name": "GUADALUPE",
        "name_prefix": "Mrs.",
        "credential": "AGAC-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95009649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Signal Hill, CA

Sources for this page

Verify at the official NPI Registry.