MARISSA PORRAZ NPI 1205354362

NPI Information

NPI: 1205354362
Provider Name: MARISSA PORRAZ
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
27261 LAS RAMBLAS STE 220
MISSION VIEJO, CA
ZIP 92691
Phone: (760) 669-4038
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Marissa Porraz is a peer specialist in Mission Viejo, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Marissa Porraz NPI is 1205354362. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

27261 LAS RAMBLAS STE 220
MISSION VIEJO, CA
ZIP 92691-468
Phone: (760) 669-4038

The enumeration date for this NPI number is 9/8/2017 and was last updated on 9/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	104100000X	Social Worker		No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
3	175T00000X	Peer Specialist		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F2715197	OTHER	CALIFORNIA	SOUTH COAST COMMUNITY SERVICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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