Individual provider Active NPI

Marissa Pacheco, FNP-C

  • Family Nurse Practitioner
  • Chula Vista, CA
National Provider Identifier
1881314508
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022317 Issued in CA
Practice address
765 Medical Center CT Ste 211
Chula Vista, CA 91911-6600
Phone
(619) 616-2100
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 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 95022317 CA Primary

Addresses

Primary practice location

765 Medical Center CT Ste 211
Chula Vista, CA 91911-6600

Mailing address

5072 Molino Cir
Roseville, CA 95747-4588
Phone (559) 389-8521

Other practice location 1

980 Fulton Ave
Sacramento, CA 95825-4558
Phone (916) 399-3074

Other practice location 2

3247 Esplanade
Chico, CA 95973-4969
Phone (559) 715-2900

Other practice location 3

1233 Plumas St
Yuba City, CA 95991-3410
Phone (530) 715-2900

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
I20221020000828 CA Practitioner - Nurse Practitioner 1759757495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Western University of Health Sciences College of Dental Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ampla HealthGroup PAC ID 5092619270, 105 clinicians

Practice addresses (Care Compare)

355 Samuel Dr
Yuba City, CA 95991-6324
Phone (530) 674-9200

Hospital & facility affiliations

  • Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95022317CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elica Health Centers CurrentSince Oct 4, 2024 Accepting new patients
Elica Health Centers CurrentSince Oct 4, 2024 Accepting new patients
Ampla Health Current Accepting new patients
Ampla Health CurrentSince Oct 1, 2022 Accepting new patients
Ampla Health CurrentSince Oct 1, 2022 Accepting new patients
Elica Health Centers Current Accepting new patients
Heart and Vascular Centers of America, Inc. Past Accepting new patients

Locations

89 Putnam Way
Arbuckle, CA 95912
Phone (530) 476-2200

680 Cohasset Rd
Chico, CA 95926
Phone (530) 342-4395

285 Cohasset Rd
Chico, CA 95926
Phone (530) 342-6065

555 Fremont St
Colusa, CA 95932
Phone (530) 458-5165

520 Kentucky St
Gridley, CA 95948
Phone (530) 846-6231

7981 Highway 99E
Los Molinos, CA 96055
Phone (530) 384-4010

4815 Watt Ave
North Highlands, CA 95660

4941 Olivehurst Ave
Olivehurst, CA 95961
Phone (530) 743-4611

1211 Cortina Dr
Orland, CA 95963
Phone (530) 865-5544

2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500

1750 Wright St
Ste 1
Sacramento, CA 95825

1860 Howe Ave
Ste 440
Sacramento, CA 95825

155 15th St
Ste A
West Sacramento, CA 95691
Phone (916) 375-8981

1000 Sutter St
Yuba City, CA 95991
Phone (530) 673-9420

931 Market St
Yuba City, CA 95991
Phone (530) 671-8820

935 Market St
Yuba City, CA 95991
Phone (530) 674-4261

Interoperability endpoints

  • Direct secure messaging: marissa.pacheco@hvca.directbygreenway.com
  • Direct secure messaging: marissa.pacheco@ampla.eclinicaldirectplus.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1881314508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5072 MOLINO CIR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957474588",
            "telephone_number": "559-389-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 MEDICAL CENTER CT STE 211",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116600",
            "telephone_number": "619-616-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "980 Fulton Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958254558",
            "country_code": "US",
            "telephone_number": "916-399-3074",
            "fax_number": "279-399-3074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3247 Esplanade",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959734969",
            "country_code": "US",
            "telephone_number": "559-715-2900",
            "fax_number": "530-513-5490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1233 Plumas St",
            "address_purpose": "LOCATION",
            "city": "Yuba City",
            "state": "CA",
            "postal_code": "959913410",
            "country_code": "US",
            "telephone_number": "530-715-2900",
            "fax_number": "530-692-5088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "MARISSA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.