Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902227481 Individual Practitioner Female Practitioner

Marissa Phan

Pharmacist • San Leandro, CA

Professional Overview & Biography Verified Profile Summary

Marissa Phan is a registered healthcare professional specializing in Pharmacist in San Leandro, CA. Practice services are available at 15555 E. 14TH STREET #400 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15555 E. 14th Street #400

San Leandro, CA 94578

Telephone 5102762699

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in San Leandro, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.8 Yrs
Regional Practice Density
133 Specialists

Practicing in San Leandro, CA (33119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA 66269

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1093180192

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 30, 2013

NPI status registered as active in NPPES database

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Updated Practice Location December 30, 2013

Registered at 15555 E. 14TH STREET #400, SAN LEANDRO, CA 94578 (Tel: 5102762699)

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Updated Business Mailing Address December 30, 2013

Registered at 4809 CORNFLOWER STREET, SAN RAMON, CA 94582 (Tel: 2149071633)

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Provider Name / Credentials Updated December 30, 2013

Recorded as MARISSA PHAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2013

Pharmacist (License #66269 in CA)

🟢
Initial NPI Registration & Enumeration December 30, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902227481
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 30, 2013
Last Update: December 30, 2013
Sole Proprietor: Yes

Mailing Address

4809 Cornflower Street

San Ramon, CA 94582

Phone: 2149071633

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.