Marissa King, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3095 Old Conejo Rd Ste 200
Thousand Oaks, CA 91320-2130

Phone

(888) 367-1850

Fax

(805) 222-0323

NPI assigned

Aug 1, 2022

Last updated

Jan 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• California Dermatology Institute PC

  dba California Dermatology Institute

  • Dermatology Physician
  • Thousand Oaks, CA
  • NPI 1235671389
  Medicare reassignment
• La Laser Center PC, a Professional Medical Corporation

  dba Skin and Cancer Institute - Turlock

  • Non-Pharmacy Dispensing Site
  • Turlock, CA
  • NPI 1356974059
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1174259154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48291 BIG HORN DR",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537147",
            "telephone_number": "760-831-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3095 OLD CONEJO RD STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913202130",
            "telephone_number": "888-367-1850",
            "fax_number": "805-222-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MARISSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Kim, MD
• Miles Amorr Kim, DO
• Susie Kim, PHARMD
• Kimberly Zevallos Family Therapy, Inc.
• Steven A Kind, MD
• Kingsley Clinic of California, PC
• Brooke Kirksey, NP
• Ean Raphael Kleiger, D.D.S.
• Barry D Klein, MD
• Bernard Klein, M.D.

• Physician Assistant in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.