Active NPI
Marilisa Mancao, MD
- Family Medicine Physician
- Pleasanton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G161069
- Practice address
- 5925 W Las Positas Blvd Ste 100
Pleasanton, CA 94588-8537 - Phone
- (925) 462-1755
- NPI assigned
- Dec 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G161069 | CA | Primary |
| Family Medicine Physician | 207Q00000X | 98109 | NM |
Addresses
Primary practice location
5925 W Las Positas Blvd Ste 100
Pleasanton, CA 94588-8537
Mailing address
5925 W Las Positas Blvd Ste 100
Pleasanton, CA 94588-8537
Phone (925) 462-1755
Other names 1
- Marie Lisa Mancao
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- State University of Ny Upstate Medical University, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Axis Community Health Inc
Practice addresses (Care Compare)
5925 W Las Positas Blvd
Pleasanton, CA 94588-8537
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G161069 | CA | MD | Family Medicine Physician |
| 98109 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcus Zachary, D.O., P.C. | Family Medicine | Current | Accepting new patients |
| Lifelong Medical Care | Family Medicine | Current | Accepting new patients |
| Lifelong Medical Care | Current | Accepting new patients | |
| California Pacific Medical Group, Inc. | Past | Accepting new patients |
Locations
2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203
7111 N Fresno St
Ste 200
Fresno, CA 93720
Phone (415) 353-6817
10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Berkeley, CA
- NPI 1689670002
-
- Family Medicine Physician
- Rodeo, CA
- NPI 1003289463
-
- Family Medicine Physician
- Fresno, CA
- NPI 1710592621
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1912982455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5925 W LAS POSITAS BLVD STE 100",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945888537",
"telephone_number": "925-462-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5925 W LAS POSITAS BLVD STE 100",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945888537",
"telephone_number": "925-462-1755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCAO",
"first_name": "MARILISA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-07",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G161069",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "98109",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIE",
"last_name": "MANCAO",
"middle_name": "LISA",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.