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MARISSA ROSE VANDER MISSEN
NPI 1003650920
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since June 24, 2024
200 W ARBOR DR, SAN DIEGO, CA 92103(619) 543-6268 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2025, Jun 24, 2024 (2 updates tracked since 2024).

About Marissa Rose Vander Missen NPPES

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

MARISSA ROSE VANDER MISSEN (NPI 1003650920) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1003650920
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARISSA ROSE VANDER MISSEN
Location Address200 W ARBOR DRSan Diego, CA 92103-9000
Mailing Address200 W Arbor DrSan Diego, CA 92103-9000 · (619) 543-6268
Phone(619) 543-6268
Sole ProprietorNo
Enumeration DateJune 24, 2024
Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1003650920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 W ARBOR DR, San Diego, CA 92103
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Other Providers at the Same Location NPPES 20

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

DR. RAMIN MOTARJEMI M.D.
Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (858) 249-2500
DR. KYLE PALMER EDMONDS M.D., FAAHPM
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
SHAWN RAVEENTH VEDAMANI MD
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DALE MICHAEL TRUJILLO NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
KAYLEE PETERSEN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
IRENE NEVAREZ NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
WILLIAM JAMES MOSS M.D.
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (508) 395-4189
JAMES HAMILTON JR. PA-C
Physician Assistant (Surgical)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (858) 657-8200

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 Marissa Vander Missen's NPI number?

The NPI number for Marissa Vander Missen is 1003650920. It was assigned to this individual provider in the NPPES registry on June 24, 2024.

Where is Marissa Vander Missen located?

Marissa Vander Missen practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (619) 543-6268.

What is Marissa Vander Missen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Marissa Vander Missen was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.