Active NPI
Marlene Rissman
- Speech-Language Pathologist
- San Diego, CA
National Provider Identifier
1912813619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5410
- Practice address
- 5384 Camino Playa Norte
San Diego, CA 92124-4114 - Phone
- (858) 442-3417
- NPI assigned
- Aug 21, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5410 | CA | Primary |
Addresses
Primary practice location
5384 Camino Playa Norte
San Diego, CA 92124-4114
Mailing address
5384 Camino Playa Norte
San Diego, CA 92124-4114
Phone (858) 442-3417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1912813619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5384 CAMINO PLAYA NORTE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921244114",
"telephone_number": "858-442-3417",
"fax_number": "858-565-7508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5384 CAMINO PLAYA NORTE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921244114",
"telephone_number": "858-442-3417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISSMAN",
"first_name": "MARLENE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-08-21",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "5410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.