Marissa A Pastrana
Individual provider Active NPI Occupational Therapist · Spring Valley, CA
NPI 1629956495 · NPPES record last updated Aug 26, 2025
Key facts
- NPI
- 1629956495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 27968 (CA)
- Practice address
- 10368 Fairhill Dr
Spring Valley, CA 91977-5408 - Phone
- (619) 403-0119
- NPI assigned
- Aug 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27968 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 27968 | CA | |
| Occupational Therapist | 225X00000X | 27968 | CA | Yes |
Addresses
Primary practice location
10368 Fairhill Dr
Spring Valley, CA 91977-5408
Mailing address
10368 Fairhill Dr
Spring Valley, CA 91977-5408
Phone (619) 403-0119
Other providers in Spring Valley, CA
- Michelle Lynn Page
- Michael Ryan Pankey
- Roxanne Nicole Pardo
- Denise Lynette Parnell
- Jesica Pastrana
- Priyanka Pathak
- Adrienne Pelkey
- Mary Catherine Peltier
- Valeria Pena
- Hunter M Penrod
All providers in Spring Valley, CA · Occupational Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.