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MARISSA MARIE FRUTOS- DOMINGUEZ
NPI 1275409724
Rehabilitation Practitioner in Mountain View, CA

Active since October 13, 2025
1503 GRANT RD STE 110, MOUNTAIN VIEW, CA 94040(650) 484-1213(408) 642-6052 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marissa Marie Frutos- Dominguez NPPES

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

MARISSA MARIE FRUTOS- DOMINGUEZ (NPI 1275409724) is an individual rehabilitation practitioner in Mountain View, California and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1275409724
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameMARISSA MARIE FRUTOS- DOMINGUEZ
Location Address1503 GRANT RD STE 110Mountain View, CA 94040-3270
Mailing Address1922 The Alameda, Suite 316San Jose, CA 95126 · (408) 261-7777 · Fax (408) 642-6052
Phone(650) 484-1213
Fax(408) 642-6052
Sole ProprietorNo
Enumeration DateOctober 13, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1275409724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
1503 GRANT RD STE 110, Mountain View, CA 94040
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Other Providers at the Same Location NPPES 15

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

ROBERT THOMPSON MA
Marriage & Family Therapist
1503 GRANT RD STE 110
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 484-1213
SHELLEY GALLIVAN NP
Nurse Practitioner (Psychiatric/Mental Health)
1503 GRANT RD STE 110
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 484-1213
XIARA CALDERON SANTANA
Student in an Organized Health Care Education/Training Program
1503 GRANT RD STE 110
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 484-1213
SUZANNE ELIZABETH EARLE
Marriage & Family Therapist
1503 GRANT RD STE 110
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 484-1213
EDGARDO J SOLORZANO
Rehabilitation Practitioner
1503 GRANT RD STE 110
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 484-1213
KATERYNA AYRES
Rehabilitation Practitioner
1503 GRANT RD STE 110
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 484-1213
MOMENTUM FOR HEALTH
Psychologist
1503 GRANT RD STE 110
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 484-1213
ELISA RICHARDS
Marriage & Family Therapist
1503 GRANT RD STE 110
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 484-1213

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 Frutos- Dominguez's NPI number?

The NPI number for Marissa Frutos- Dominguez is 1275409724. It was assigned to this individual provider in the NPPES registry on October 13, 2025.

Where is Marissa Frutos- Dominguez located?

Marissa Frutos- Dominguez practices at 1503 Grant Rd Ste 110, Mountain View, CA 94040. The listed phone number is (650) 484-1213.

What is Marissa Frutos- Dominguez's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Marissa Frutos- Dominguez was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.