Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marisa Deptala, FNP

Individual provider Family Nurse Practitioner · NPI 1083166615

Marisa Deptala, FNP is a Nurse Practitioner in Chula Vista, California. Qualified in 2016, 10 years ago. Practices with Jean Rizkallah, MD, Inc, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

450 4th Ave Ste 408
Chula Vista, CA 91910-4430
Phone: (619) 691-1990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8695 Spectrum Center Blvd, San Diego, CA 92123-1489 — (858) 499-5259

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95005347 (CA)

Record details

NPI number1083166615
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedOctober 31, 2016
Last updated in NPPESApril 13, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Jean Rizkallah, M.D., Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chula Vista