Individual provider Active NPI

Marissa Q Deleon, MD

  • Pediatrics Physician
  • Bakersfield, CA
National Provider Identifier
1962465336
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A70357 Issued in CA
Practice address
9508 Stockdale Hwy
Ste 150
Bakersfield, CA 93311
Phone
(661) 663-7500
Fax
(661) 663-3063
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A70357 CA Primary

Addresses

Primary practice location

9508 Stockdale Hwy
Ste 150
Bakersfield, CA 93311

Mailing address

9508 Stockdale Hwy
Ste 150
Bakersfield, CA 93311
Phone (661) 663-7500

Other identifiers 1

IdentifierTypeStateIssuer
OOA703570MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230614003814 CA Practitioner - Pediatric Medicine 4486012960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

1508 Garces Hwy
Suite 1
Delano, CA 93215-3687
Phone (661) 725-2788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A70357CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista CurrentSince Jun 5, 2023 Accepting new patients
Clinica Sierra Vista CurrentSince Jun 5, 2023 Accepting new patients
Coastal Kids, a Professional Medical Corporation Pediatrics Past Accepting new patients
Universal Healthcare Services Inc. Past Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

1508 Garces Hwy
Ste 1
Delano, CA 93215
Phone (661) 725-4780

Interoperability endpoints

  • Direct secure messaging: mdeleon19660@clinicasierravista.direct-ci.com
  • Direct secure messaging: marissa.deleon@3336.securemail.prognocis.com
  • Direct secure messaging: marissa.deleon@2871.securemail.prognocis.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962465336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9508 STOCKDALE HWY",
            "address_2": "STE 150",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93311",
            "telephone_number": "661-663-7500",
            "fax_number": "661-663-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9508 STOCKDALE HWY",
            "address_2": "STE 150",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93311",
            "telephone_number": "661-663-7500",
            "fax_number": "661-663-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEON",
        "first_name": "MARISSA",
        "middle_name": "Q",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A70357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOA703570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.