MRS. MARISA CAROLINA BOELK
NPI 1083733398
Chiropractor in San Diego, CA

Q: What is Marisa Boelk's NPI number?

The NPI number for Marisa Boelk is 1083733398. It was assigned to this individual provider in the NPPES registry on March 28, 2007. The provider is also known as Marisa Carolina Contreras Dc.

Q: What is Marisa Boelk's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Marisa Boelk was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since March 28, 2007

4060 FAIRMOUNT AVE, CHIROPRACTIC DEPARTMENT, SAN DIEGO, CA 92105(619) 798-3947(619) 269-1302 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mrs. Marisa Carolina Boelk NPPES

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

MRS. MARISA CAROLINA BOELK (NPI 1083733398) is an individual chiropractor in San Diego, California, licensed in California (DC 29340) and active in the NPI registry since March 2007. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1083733398

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameMRS. MARISA CAROLINA BOELK

Location Address4060 FAIRMOUNT AVE, CHIROPRACTIC DEPARTMENTSan Diego, CA 92105

Mailing Address5095 Murphy Canyon Rd Ste 300San Diego, CA 92123-4348 · (619) 298-0800 · Fax (619) 298-8080

Phone(619) 798-3947

Fax(619) 269-1302

Sole ProprietorNo

Enumeration DateMarch 28, 2007

Last NPPES UpdateMarch 27, 2023

NPPES CertifiedMarch 27, 2023

✔ NPI 1083733398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Licenses✔ Licensed in CA · DC 29340✔ Licensed in CA · SAT35706

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

4060 FAIRMOUNT AVE, San Diego, CA 92105

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Other Names 1

Professional Name (2)Marisa Carolina Contreras Dc

Secondary Practice Location 1

Location 15095 Murphy Canyon Rd Ste 300San Diego, CA 92123-4348 · Phone (619) 298-0800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Marisa Carolina Boelk is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Marisa Boelk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

La Maestra Family Clinic, Inc.

Same address

Federally Qualified Health Center (FQHC)

4060 FAIRMOUNT AVE
San Diego, CA 92105

Reassigned Medicare billing, California enrollment
102 clinicians in this Medicare group

NPI 1609849074 (619) 280-4213

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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. DORA DOAN O.D.

Optometrist

4060 FAIRMOUNT AVE, OPTOMETRY DEPARTMENT
SAN DIEGO, CA 92105

San Diego County (619) 961-0803

DIANA P ALVAREZ MSW

Counselor (Mental Health)

4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105

San Diego County (619) 295-6047

ANTOINETTE KIM LIEU PHARMD

Pharmacist

4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105

San Diego County (619) 564-7013

KALEELAH RAE, NAJA MUHAMMAD

Student in an Organized Health Care Education/Training Program

4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105

San Diego County (619) 280-4213

DR. ADLA TESSIER M.D.

Internal Medicine

4060 FAIRMOUNT AVE, FAMILY PRACTICE
SAN DIEGO, CA 92105

San Diego County (619) 255-9155

CYNTHIA MIRANDA PSYD

Psychologist

4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105

San Diego County (619) 564-8765

TONYA DANIELLE DANIEL LCSW

Social Worker (Clinical)

4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105

San Diego County (619) 584-1612

SAMANTHA GOGGIN MD

Pediatrics

4060 FAIRMOUNT AVE, PEDIATRICS DEPARTMENT
SAN DIEGO, CA 92105

San Diego County (619) 255-9154

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 Marisa Boelk's NPI number?

The NPI number for Marisa Boelk is 1083733398. It was assigned to this individual provider in the NPPES registry on March 28, 2007. The provider is also known as Marisa Carolina Contreras Dc.

Where is Marisa Boelk located?

Marisa Boelk practices at 4060 Fairmount Ave Chiropractic Department, San Diego, CA 92105. The listed phone number is (619) 798-3947.

What is Marisa Boelk's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Marisa Boelk enrolled in Medicare?

Yes. Marisa Boelk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marisa Boelk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marisa Boelk reassigns Medicare benefits to La Maestra Family Clinic, Inc. (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marisa Boelk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marisa Boelk was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.