Healthcare Provider Details

I. General information

NPI: 1497210512
Provider Name (Legal Business Name): MARIA ANGELICA GABRIEL MARASIGAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2019
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26357 MCBEAN PKWY STE 120
VALENCIA CA
91355-4490
US

IV. Provider business mailing address

23429 VIA GAYO
VALENCIA CA
91355-3047
US

V. Phone/Fax

Practice location:
  • Phone: 661-222-2643
  • Fax:
Mailing address:
  • Phone: 661-481-9610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95010929
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: