MARSHALL SURGERY CENTER LLC NPI 1114922549

NPI Information

  • NPI: 1114922549
  • Provider Name: MARSHALL SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: MARSHALL SURGERY CENTER
  • Address: 3501 PALMER DR
    STE 100
    CAMERON PARK, CA
    ZIP 95682
  • Phone: (530) 676-6120

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NPI Details

MARSHALL SURGERY CENTER, LLC is an ambulatory surgical clinic center in Cameron Park, CA. MARSHALL SURGERY CENTER, LLC NPI is 1114922549. The provider is registered as an organization entity type.
The provider Is Doing Business As Marshall Surgery Center.

The provider's business location address is:

3501 PALMER DR
STE 100
CAMERON PARK, CA
ZIP 95682-276
Phone: (530) 676-6120
Fax: (530) 676-6130

The provider's authorized official is Martha Ponce-fair .
The authorized official title is Administrator and has the following contact phone number (530) 676-6125.

The enumeration date for this NPI number is 6/13/2005 and was last updated on 8/22/2020.

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 License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalCALIFORNIAYes

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: 11/21/2025

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