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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARLY MACKLES
NPI 1811893191
Nurse Anesthetist, Certified Registered in Phelan, CA

Active since October 15, 2026
4730 AMADOR RD, PHELAN, CA 92371(760) 810-2187 Get Directions Write a Review

NPPES record added: October 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Marly Mackles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLY MACKLES (NPI 1811893191) is an individual nurse anesthetist, certified registered in Phelan, California, licensed in California (95002990) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1811893191
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMARLY MACKLES
Location Address4730 AMADOR RDPhelan, CA 92371-7000
Mailing Address4730 Amador RdPhelan, CA 92371-7000
Phone(760) 810-2187
Sole ProprietorNo
Enumeration DateOctober 15, 2026
NPPES CertifiedOctober 14, 2026
✔ NPI 1811893191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 95002990
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
4730 AMADOR RD, Phelan, CA 92371
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Other Names 1

Former Name (1)Marly Gallegos Vargas

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MACKLES NURSING CO.
Anesthesiology
4730 AMADOR RD
PHELAN, CA 92371
San Bernardino County (760) 810-2187

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marly Mackles's NPI number?

The NPI number for Marly Mackles is 1811893191. It was assigned to this individual provider in the NPPES registry on October 15, 2026. The provider is also known as Marly Gallegos Vargas.

Where is Marly Mackles located?

Marly Mackles practices at 4730 Amador Rd, Phelan, CA 92371. The listed phone number is (760) 810-2187.

What is Marly Mackles's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Marly Mackles was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.