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MARISSA LEE FAWWAZ
NPI 1578324919
Physician Assistant in Hollister, CA

Active since January 23, 2024PECOS Enrolled
890 SUNSET DR STE A-2A, HOLLISTER, CA 95023(831) 635-9788(831) 635-9680 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marissa Lee Fawwaz NPPES

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

MARISSA LEE FAWWAZ (NPI 1578324919) is an individual physician assistant in Hollister, California, licensed in California (PA64967) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578324919
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARISSA LEE FAWWAZ
Location Address890 SUNSET DR STE A-2AHollister, CA 95023-5651
Mailing Address890 Sunset Dr Ste A-2aHollister, CA 95023-5651 · (831) 635-9788 · Fax (831) 635-9680
Phone(831) 635-9788
Fax(831) 635-9680
Sole ProprietorNo
Enumeration DateJanuary 23, 2024
Last NPPES UpdateJanuary 15, 2026
NPPES CertifiedJanuary 15, 2026
✔ NPI 1578324919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA64967
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA64967 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
890 SUNSET DR STE A-2A, Hollister, CA 95023
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa Lee Fawwaz 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95023 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$107.20 typical visit price
range $70.72 – $207.37
Typical copayment $26.80 (range $17.68 – $51.84)
Most-billed visit code 99203
Established Patient
$86.98 typical visit price
range $24.01 – $170.46
Typical copayment $21.74 (range $6.00 – $42.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

CAROL T MEI M.D.
Internal Medicine (Hematology & Oncology)
890 SUNSET DR STE A-2A
HOLLISTER, CA 95023
San Benito County (781) 340-0735

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 Fawwaz's NPI number?

The NPI number for Marissa Fawwaz is 1578324919. It was assigned to this individual provider in the NPPES registry on January 23, 2024.

Where is Marissa Fawwaz located?

Marissa Fawwaz practices at 890 Sunset Dr Ste A-2a, Hollister, CA 95023. The listed phone number is (831) 635-9788.

What is Marissa Fawwaz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marissa Fawwaz enrolled in Medicare?

Yes. Marissa Fawwaz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marissa Fawwaz was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.