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

Marissa Mastrocola

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790245884

Marissa Mastrocola is an Orthopedic Surgery in Redwood City, California. Graduated from University of Massachusetts Medical School in 2019, 7 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in California and Virginia.

Years since qualifying
7
Trained at
University of Massachusetts Medical School
Licensed in
CA, VA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

450 Broadway St # MC6342
Redwood City, CA 94063-3132
Phone: (650) 721-1836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 0101287702 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1790245884
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 23, 2019
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated 2019 (7 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Redwood City