Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Axle Maria Rafaelle Dimayuga Untalan, MD

Individual provider Internal Medicine Physician · NPI 1871225847

Dr. Axle Maria Rafaelle Dimayuga Untalan, MD is an Internal Medicine in Paradise, California. Qualified in 2018, 8 years ago. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5125 Skwy
Paradise, CA 95969-5624
Phone: (530) 872-2000
Fax: (530) 332-1049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A200859 (CA)

Record details

NPI number1871225847
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2022
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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