MARISA LEAL PA-C
NPI 1285002840
Physician Assistant - Medical in Santa Clara, CA

Q: What is Marisa Leal's NPI number?

The NPI number for Marisa Leal is 1285002840. It was assigned to this individual provider in the NPPES registry on September 11, 2015.

Q: What is Marisa Leal's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Marisa Leal was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 September 11, 2015PECOS Enrolled

3466 EL CAMINO REAL, SANTA CLARA, CA 95051(408) 791-1210(408) 791-0085 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Dec 20, 2017, Nov 16, 2015 (3 updates tracked since 2015).

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About Marisa Leal Pa-c NPPES

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

MARISA LEAL PA-C (NPI 1285002840) is an individual medical provider in Santa Clara, California, licensed in California (55120) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sunnyvale.

NPPES Registry Identity

NPI1285002840

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMARISA LEALCredential: PA-C

Location Address3466 EL CAMINO REALSanta Clara, CA 95051-2809

Mailing Address5138 Monterey Hwy Ste GSan Jose, CA 95111-4382 · (408) 687-4806 · Fax (408) 687-4817

Phone(408) 791-1210

Fax(408) 791-0085

Sole ProprietorYes

Enumeration DateSeptember 11, 2015

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1285002840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · 55120

3466 EL CAMINO REAL, Santa Clara, CA 95051

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Secondary Practice Location 1

Location 1970 W El Camino Real Ste 8Sunnyvale, CA 94087-1180 · Phone (408) 212-7420

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marisa Leal Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

JACK EARL KUNDIN M.D.

Psychiatry & Neurology (Neurology)