Maryvale

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MARYVALE

Practice address

2502 E Huntington Dr
Duarte, CA 91010

Phone

(626) 357-1514

Fax

(626) 359-4285

NPI assigned

Apr 13, 2011

Organization subpart

No

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

Authorized official

Name

Michelle Lynn Culver

Title

Senior Director of Community Based

Phone

(626) 263-9133

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1831489681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 E HUNTINGTON DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102221",
            "telephone_number": "626-357-1514",
            "fax_number": "626-359-4285"
        },
        {
            "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": "91010",
            "telephone_number": "626-357-1514",
            "fax_number": "626-359-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "CULVER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF COMMUNITY BASED",
        "authorized_official_telephone_number": "626-263-9133"
    },
    "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": []
}

• 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
• Marina Matossian

• 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 Feb 19, 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.