MEDICARE: MARISSA CALDARELLA PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant
2	390200000X	Student in an Organized Health Care Education/Training Program		OR
3	133V00000X	Registered Dietitian	86007582	MN
4	363A00000X	Physician Assistant	PA61211939	WA

General Provider Information

NPI Number	:	1619349826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARISSA CALDARELLA PA-C

Provider Business Mailing Address
First Line	:	703 BROADWAY ST STE 700
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98660-3307
Country	:	US
Telephone Number	:	360-869-4200
Fax Number	:

Provider Business Practice Location Address
First Line	:	2659 STATE ST # 100-1012
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92008-1627
Country	:	US
Telephone Number	:	833-378-2162
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2015
Last Update Date	:	10/13/2023

Similar Medicare Providers

1497409676 — MEGHAN DELMAN LMFT
Practice Location Address:

2659 STATE ST STE 1012
CARLSBAD, CA
92008-1627

Practice Phone: 855-387-4378
Practice Fax:

1083663538 — MICHELE L ZUCKER M.D.
Practice Location Address:

2659 STATE ST STE 100
CARLSBAD, CA
92008-1627

Practice Phone: 619-350-6290
Practice Fax: 619-436-4739

1063670586 — LIZZETTE VESCERA LMFT
Practice Location Address:

2659 STATE ST STE 100
CARLSBAD, CA
92008-1627

Practice Phone: 562-257-6528
Practice Fax: 866-506-5725

1356667141 — DR. ALEXIS A MORENO PSB94029593
Practice Location Address:

2683 STATE ST
CARLSBAD, CA
92008-1627

Practice Phone: 760-814-9379
Practice Fax:

1306103098 — DR. ANGELA SUE KLEIN PH.D.
Practice Location Address:

2683 STATE ST
CARLSBAD, CA
92008-1627

Practice Phone: 573-289-4651
Practice Fax:

1366819757 — MICHELLE TAGANI PA
Practice Location Address:

2659 STATE ST STE 100
CARLSBAD, CA
92008-1627

Practice Phone: 866-938-3831
Practice Fax:

Directions to “ MARISSA CALDARELLA PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.