Active NPI
Marlena Francine Wasina, OTR
- Pediatric Occupational Therapist
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 6403
- Practice address
- 3205 Hurley Way
Sacramento, CA 95864-3853 - Phone
- (916) 485-6711
- Fax
- (916) 485-2653
- NPI assigned
- Jun 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 6403 | CA | Primary |
Addresses
Primary practice location
3205 Hurley Way
Sacramento, CA 95864-3853
Mailing address
2750 Gateway Oaks Dr
Ste 150
Sacramento, CA 95833-3668
Phone (855) 771-0335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2702 Low CT
Fairfield, CA 94534-9771
Phone (707) 432-2600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients |
Locations
2702 Low Ct
Fairfield, CA 94534
Phone (707) 432-2600
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
1625 Stockton Blvd
Sacramento, CA 95816
Phone (916) 262-9040
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Multi-Specialty Clinic/Center
- Fairfield, CA
- NPI 1184859894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589500800000",
"number": "1235459942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 GATEWAY OAKS DR",
"address_2": "STE 150",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958333668",
"telephone_number": "855-771-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 HURLEY WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958643853",
"telephone_number": "916-485-6711",
"fax_number": "916-485-2653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASINA",
"first_name": "MARLENA",
"middle_name": "FRANCINE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-03",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "6403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.