Marisa Leal, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

55120 Issued in CA

Practice address

3466 El Camino Real
Santa Clara, CA 95051-2809

Phone

(408) 791-1210

Fax

(408) 791-0085

NPI assigned

Sep 11, 2015

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Carbon Health Primary Care of California PC

  • Multi-Specialty Clinic/Center
  • Berkeley, CA
  • NPI 1972057990
  NPD (past)
• Next Step Medical Inc.

  • Urgent Care Clinic/Center
  • Oceanside, CA
  • NPI 1164730404
  NPD (past)

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285002840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5138 MONTEREY HWY STE G",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951114382",
            "telephone_number": "408-687-4806",
            "fax_number": "408-687-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 EL CAMINO REAL",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950512809",
            "telephone_number": "408-791-1210",
            "fax_number": "408-791-0085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "970 W El Camino Real Ste 8",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940871180",
            "country_code": "US",
            "telephone_number": "408-212-7420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAL",
        "first_name": "MARISA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "55120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Duyen Le
• Thuy VI Thi Le, BS
• Titi Nguyen Le, OD
• Tung Ba Le, MD
• Amanda G Leal
• Alejandra Lorena Lecaros, NP
• Bailey Lechner-Luke
• Irene Beatriz Lee Hung, D.D.S
• Jennifer Lee Thuresson
• Annette Lee-Ma

• Medical Physician Assistant in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.