Marie Lyn Custodio, NURSE PRACTITIONER
NPI 1356981526 · Family Nurse Practitioner · San Diego, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marie Lyn Custodio, NURSE PRACTITIONER is a Family Nurse Practitioner provider in San Diego, CA (NPI 1356981526).
Provider details
- NPI number
- 1356981526
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- Yes
- License
- 80555 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Nirmatrelvir/Ritonavirbrand: Paxlovid | 83 | 83 |
| Doxycycline Monohydrate | 27 | 27 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 23 | 23 |
| Nirmatrelvir/Ritonavirbrand: Paxlovid (eua) | 23 | 23 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 22 | 16 |
| Amoxicillin | 16 | 16 |
| Amoxicillin/Potassium Clav |
Practice location
Mailing address
Additional practice locations (2)
- 2760 Fletcher PkwyEl Cajon, CA 92020-2110Phone: (619) 461-4411
- 1419 E 8th StNational City, CA 91950-2602Phone: (619) 718-1743
Registry dates
- Enumerated
- 2020-01-15
- Last updated
- 2021-10-21
- Certified
- 2021-10-21
Frequently asked questions
- What is Marie Lyn Custodio's NPI number?
- Marie Lyn Custodio's National Provider Identifier (NPI) is 1356981526, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marie Lyn Custodio's specialty?
- Marie Lyn Custodio is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Marie Lyn Custodio located?
- Marie Lyn Custodio's practice location on file with NPPES is 3327 Rosecrans St, San Diego, CA 92110-4223.
- What is Marie Lyn Custodio's phone number?
- The practice phone number listed in the NPPES registry for Marie Lyn Custodio is (619) 225-9691.
- Does Marie Lyn Custodio accept Medicare?
- Marie Lyn Custodio is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marie Lyn Custodio's NPI active?
- Yes — Marie Lyn Custodio's NPI (1356981526) is active in the NPPES registry as of the last update on 2021-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.