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RISA OCTAVIA MARBLE
NPI 1366128688
Rehabilitation Practitioner in San Luis Obispo, CA

Active since June 22, 2023
784 HIGH STREET, SAN LUIS OBISPO, CA 93401(805) 540-6500(805) 540-6501 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 29, 2025, Jun 22, 2023 (2 updates tracked since 2023).

About Risa Octavia Marble NPPES

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

RISA OCTAVIA MARBLE (NPI 1366128688) is an individual rehabilitation practitioner in San Luis Obispo, California and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1366128688
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameRISA OCTAVIA MARBLE
Location Address784 HIGH STREETSan Luis Obispo, CA 93401-5243
Mailing AddressPo Box 15408San Luis Obispo, CA 93406-5408 · (805) 540-6500 · Fax (805) 540-6501
Phone(805) 540-6500
Fax(805) 540-6501
Sole ProprietorNo
Enumeration DateJune 22, 2023
Last NPPES UpdateDecember 29, 20252 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1366128688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
784 HIGH STREET, San Luis Obispo, CA 93401
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Other Providers at the Same Location NPPES 2

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

JULIE ANN BAKER
Rehabilitation Practitioner
784 HIGH STREET
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 540-6500
MS. JANET ANN UDOVICH
Counselor (Mental Health)
784 HIGH STREET, C/O TRANSITIONS - MHA
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 541-0107

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 Risa Marble's NPI number?

The NPI number for Risa Marble is 1366128688. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is Risa Marble located?

Risa Marble practices at 784 High Street, San Luis Obispo, CA 93401. The listed phone number is (805) 540-6500.

What is Risa Marble'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 Risa Marble was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.