Active NPI
Marissa Martini
- General Practice Physician
- Anaheim, CA
National Provider Identifier
1952263675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A30945
- Practice address
- 1401 S Anaheim Blvd
Anaheim, CA 92805-6246 - Phone
- (714) 772-9800
- NPI assigned
- Dec 1, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A30945 | CA | Primary |
Addresses
Primary practice location
1401 S Anaheim Blvd
Anaheim, CA 92805-6246
Mailing address
PO Box 16122
Irvine, CA 92623-6122
Phone (714) 772-9800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A30945 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1952263675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16122",
"city": "IRVINE",
"state": "CA",
"postal_code": "926236122",
"telephone_number": "714-772-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S ANAHEIM BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928056246",
"telephone_number": "714-772-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINI",
"first_name": "MARISSA",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-12-01",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A30945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.