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MARISSA MOORE
NPI 1811755937
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since March 12, 2024
1963 4TH AVE, SAN DIEGO, CA 92101(619) 233-3432(619) 233-7022 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marissa Moore NPPES

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

MARISSA MOORE (NPI 1811755937) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1811755937
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARISSA MOORE
Location Address1963 4TH AVESan Diego, CA 92101-2394
Mailing Address1963 4th AveSan Diego, CA 92101-2394 · (619) 233-3432 · Fax (619) 233-7022
Phone(619) 233-3432
Fax(619) 233-7022
Sole ProprietorNo
Enumeration DateMarch 12, 2024
NPPES CertifiedMarch 12, 2024
✔ NPI 1811755937 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.
1963 4TH AVE, San Diego, CA 92101
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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.

SANDY PALOMA PHILBIN MSW
Counselor (Mental Health)
1963 4TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 233-3432
TIFFANI SI WANG
Student in an Organized Health Care Education/Training Program
1963 4TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 233-3432
CATHLEEN MARION ESTERHAY
Peer Specialist
1963 4TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 233-3432
ANA TOPETE
Day Training/Habilitation Specialist
1963 4TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 233-3432
MAYSUN KHAN LCSW
Social Worker (Clinical)
1963 4TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 233-3432
JENNIFER RUBALCABA
Student in an Organized Health Care Education/Training Program
1963 4TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 233-3432
LEON JOSHUA RUBIO RN
Registered Nurse (Psychiatric/Mental Health, Adult)
1963 4TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 233-3432
CRISTIAN STANCIU
Student in an Organized Health Care Education/Training Program
1963 4TH AVE, ARETA CROWELL BPSR CENTER
SAN DIEGO, CA 92101
San Diego County (619) 233-3432

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 Moore's NPI number?

The NPI number for Marissa Moore is 1811755937. It was assigned to this individual provider in the NPPES registry on March 12, 2024.

Where is Marissa Moore located?

Marissa Moore practices at 1963 4th Ave, San Diego, CA 92101. The listed phone number is (619) 233-3432.

What is Marissa Moore'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 Marissa Moore was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.