IndividualActive
Marissa Phan
NPI 1902227481 · Pharmacist · San Leandro, CA
Marissa Phan is a Pharmacist provider in San Leandro, CA (NPI 1902227481).
Provider details
- NPI number
- 1902227481
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 66269 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15555 E. 14th Street #400
San Leandro, CA 94578
Phone: (510) 276-2699
Street-level locationGet directions
Mailing address
4809 Cornflower Street
San Ramon, CA 94582
Registry dates
- Enumerated
- 2013-12-30
- Last updated
- 2013-12-30
Frequently asked questions
- What is Marissa Phan's NPI number?
- Marissa Phan's National Provider Identifier (NPI) is 1902227481, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marissa Phan's specialty?
- Marissa Phan is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Marissa Phan located?
- Marissa Phan's practice location on file with NPPES is 15555 E. 14th Street #400, San Leandro, CA 94578.
- What is Marissa Phan's phone number?
- The practice phone number listed in the NPPES registry for Marissa Phan is (510) 276-2699.
- Is Marissa Phan's NPI active?
- Yes — Marissa Phan's NPI (1902227481) is active in the NPPES registry as of the last update on 2013-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.