MARSHALL MEDICAL CENTER NPI 1871697904

NPI Information

  • NPI: 1871697904
  • Provider Name: MARSHALL MEDICAL CENTER
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 05D0614456
  • Address: 3581 PALMER DRIVE
    SUITE 602
    CAMERON PARK, CA
    ZIP 95682
  • Phone: (530) 626-2920

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NPI Details

MARSHALL MEDICAL CENTER is a family medicine in Cameron Park, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MARSHALL MEDICAL CENTER NPI is 1871697904. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3581 PALMER DRIVE
SUITE 602
CAMERON PARK, CA
ZIP 95682
Phone: (530) 626-2920

The provider's authorized official is Siri Nelson .
The authorized official title is Ceo and has the following contact phone number (530) 626-2601.

The CLIA number assigned to this NPI record is 05D0614456 - other - outpatient clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/11/2006 and was last updated on 9/8/2020.

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
1207R00000XInternal MedicineCALIFORNIANo
2207Q00000XFamily MedicineCALIFORNIAYes

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
1ZZZ00439ZMEDICAIDCALIFORNIA
2CT1847OTHERCALIFORNIARAIL ROAD MEDICARE

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: 3/30/2025

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