Linda Maria Mariscal, R.N., P.H.N.

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN352612 Issued in CA

Practice address

899 Northgate Dr
Suite 100
San Rafael, CA 94903-3636

Phone

(415) 473-6008

NPI assigned

Nov 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Linda Mariscal Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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.

• Marin County Health and Human Services

  dba Marin County Immunization Clinic

  • Public Health or Welfare Agency
  • San Rafael, CA
  • NPI 1366688434
  NPD (past)

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1912187048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 NORTHGATE DR",
            "address_2": "SUITE 100",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033636",
            "telephone_number": "415-473-6008",
            "fax_number": "415-473-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 NORTHGATE DR",
            "address_2": "SUITE 100",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033636",
            "telephone_number": "415-473-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARISCAL",
        "first_name": "LINDA",
        "middle_name": "MARIA",
        "credential": "R.N., P.H.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "RN352612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "MARISCAL",
            "prefix": "MS.",
            "credential": "R.N., P.H.N.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shira Marin, PHD, LMFT
• Marindale Medical Therapy Unit
• Marinidence Opco, LLC (Marin Post Acute)
• Marion Kregeloh (Marin Movement Center)
• Drew E Maris
• Mark Drucker, D.P.M., a Professional Corporation
• Dallas J Mark
• Alex Stephen Markels, LCSW
• Stephen Marks, PH.D.
• Donald Wayne Marlatt, RAS

• Case Management Registered Nurse in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.