Individual provider Active NPI

Marlene Rissman

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1912813619
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5410 Issued in CA
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

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.