1. Home
  2. Directory
  3. California
  4. San Leandro
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MARISA TANNER
NPI 1801585690
Student in an Organized Health Care Education/Training Program in San Leandro, CA

Active since May 05, 2023
2208 SAN LEANDRO BLVD, SAN LEANDRO, CA 94577(510) 483-6715(510) 483-6719 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marisa Tanner NPPES

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

MARISA TANNER (NPI 1801585690) is an individual student in an organized health care education/training program in San Leandro, California and active in the NPI registry since May 2023. She maintains a secondary practice location in Pleasanton.

NPPES Registry Identity

NPI1801585690
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARISA TANNER
Location Address2208 SAN LEANDRO BLVDSan Leandro, CA 94577-5957
Mailing Address2208 San Leandro BlvdSan Leandro, CA 94577-5957 · (510) 483-6715 · Fax (510) 483-6719
Phone(510) 483-6715
Fax(510) 483-6719
Sole ProprietorNo
Enumeration DateMay 5, 2023
Last NPPES UpdateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
✔ NPI 1801585690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2208 SAN LEANDRO BLVD, San Leandro, CA 94577
Open in Google Maps ↗

Other Names 1

Professional Name (2)Marisa Tanner

Secondary Practice Location 1

Location 17901 Stoneridge Dr Ste 150Pleasanton, CA 94588-3502 · Phone (925) 417-8733

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.

JANE ELIZABETH BLACHNITZKY LMFT
Marriage & Family Therapist
2208 SAN LEANDRO BLVD
SAN LEANDRO, CA 94577
Alameda County (510) 483-6715
EMILY K NG
Student in an Organized Health Care Education/Training Program
2208 SAN LEANDRO BLVD
SAN LEANDRO, CA 94577
Alameda County (510) 483-6715
FAMILY SERVICE OF SAN LEANDRO
Community/Behavioral Health
2208 SAN LEANDRO BLVD
SAN LEANDRO, CA 94577
Alameda County (510) 483-6715
JEANNETTE JEFFREY
Student in an Organized Health Care Education/Training Program
2208 SAN LEANDRO BLVD
SAN LEANDRO, CA 94577
Alameda County (510) 483-6715
YAXCHILAN JOHNSON
Counselor (Professional)
2208 SAN LEANDRO BLVD
SAN LEANDRO, CA 94577
Alameda County (510) 483-6715
HIVELY
Counselor (Professional)
2208 SAN LEANDRO BLVD
SAN LEANDRO, CA 94577
Alameda County (510) 483-6715
PORTER SEXTON
Marriage & Family Therapist
2208 SAN LEANDRO BLVD
SAN LEANDRO, CA 94577
Alameda County (510) 483-6715
KELLY PETERSON
Marriage & Family Therapist
2208 SAN LEANDRO BLVD
SAN LEANDRO, CA 94577
Alameda County (510) 483-6715

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 Tanner's NPI number?

The NPI number for Marisa Tanner is 1801585690. It was assigned to this individual provider in the NPPES registry on May 5, 2023.

Where is Marisa Tanner located?

Marisa Tanner practices at 2208 San Leandro Blvd, San Leandro, CA 94577. The listed phone number is (510) 483-6715.

What is Marisa Tanner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Marisa Tanner was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.