Individual provider Active NPI

Marlene Sapien- Wissa, FNP

  • Family Nurse Practitioner
  • Moreno Valley, CA
National Provider Identifier
1669205985
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95031556 Issued in CA
Practice address
11799 Steeplechase Dr
Moreno Valley, CA 92555-1707
Phone
(951) 966-5022
NPI assigned
Aug 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95031556 CA Primary

Addresses

Primary practice location

11799 Steeplechase Dr
Moreno Valley, CA 92555-1707

Mailing address

11799 Steeplechase Dr
Moreno Valley, CA 92555-1707
Phone (951) 966-5022

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250303001992 CA Practitioner - Nurse Practitioner 7012438393 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95031556CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cajon Medical Group, PC CurrentSince Feb 11, 2025 Accepting new patients
Cajon Medical Group PC Current Accepting new patients
Cajon Medical Group, PC CurrentSince Feb 11, 2025 Accepting new patients
Cajon Medical Group PC Past Accepting new patients

Locations

9278 N Loop Blvd
California City, CA 93505
Phone (760) 373-4809

5475 Walnut Ave
Fl 2
Chino, CA 91710
Phone (909) 902-1082

162 N Santa Fe St
Hemet, CA 92543
Phone (951) 506-9522

44725 10th St W
Ste 230
Lancaster, CA 93534
Phone (661) 948-1611

11306 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-9081

12980 Frederick St
Ste C
Moreno Valley, CA 92553
Phone (951) 242-5760

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

1815 W Redlands Blvd
Redlands, CA 92373

4013 Brockton Ave
Riverside, CA 92501
Phone (951) 520-1777

1738 N Waterman Ave
Ste 7
Sn Bernrdno, CA 92404
Phone (909) 557-0135

2372 Sterling Ave
Sn Bernrdno, CA 92404
Phone (909) 422-8029

732 N Mountain Ave
Ste A
Upland, CA 91786
Phone (909) 505-0693

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1669205985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11799 STEEPLECHASE DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925551707",
            "telephone_number": "951-966-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11799 STEEPLECHASE DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925551707",
            "telephone_number": "951-966-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPIEN- WISSA",
        "first_name": "MARLENE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.