Maryvale

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

PT35715 Issued in CA

Legal business name

MARYVALE

Practice address

7600 E. Graves Ave
Rosemead, CA 91770-3414

Phone

(626) 280-6510

Fax

(626) 288-1026

NPI assigned

Mar 8, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Jamie Marie Rodriguez

Title

Licensed Psychiatric Technician

Phone

(626) 280-6510

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362700800000",
    "number": "1952642415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 E. GRAVES AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703414",
            "telephone_number": "626-280-6510",
            "fax_number": "626-288-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 E. GRAVES AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703414",
            "telephone_number": "626-280-6510",
            "fax_number": "626-288-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-08",
        "last_updated": "2013-03-08",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED PSYCHIATRIC TECHNICIAN",
        "authorized_official_telephone_number": "626-280-6510",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "CA",
            "license": "PT35715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arantza Noely Martinez
• David Martinez
• Jeff Martinez
• Nancy Martinez
• Maryvale
• Glenn Isao Masuda, PH.D.
• Maung Maung
• Pearly Kit-Man Mautner
• May Corporation
• Irene Mayorgadiaz, PSYCHIATRIC TECH

• Assisted Living Facility (Mental Illness) in Rosemead, CA
• Providers in Rosemead, CA by specialty
• Assisted Living Facility (Mental Illness) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.