MEDICARE: MARSHALL MEDICAL CENTER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2084N0400X	Neurology Physician
2	2084P0800X	Psychiatry Physician
3	207QA0401X	Addiction Medicine (Family Medicine) Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073088316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARSHALL MEDICAL CENTER

Provider Business Mailing Address
First Line	:	PO BOX 45680
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94145-0680
Country	:	US
Telephone Number	:	530-626-2787
Fax Number	:

Provider Business Practice Location Address
First Line	:	1045 MARSHALL WAY
Second Line	:
City	:	PLACERVILLE
State	:	CA
Zip	:	95667-5721
Country	:	US
Telephone Number	:	530-622-8204
Fax Number	:	530-622-8205

Authorized Official
Title or Position	:	CEO
Name	:	SIRI NELSON
Credential	:
Telephone Number	:	530-622-1441

Provider Enumeration Date	:	10/12/2018
Last Update Date	:	03/09/2026

Similar Medicare Providers

1174525331 — MR. IKE HIMAYAT RAHIMI DMD
Practice Location Address:

1045 MARSHALL WAY
PLACERVILLE, CA
95667-5721

Practice Phone: 530-622-0701
Practice Fax: 530-622-7695

1073657367 — JULIET LA MERS
Practice Location Address:

1045 MARSHALL WAY
PLACERVILLE, CA
95667-5721

Practice Phone: 530-621-7965
Practice Fax:

1255289252 — JESSICA SIMONS
Practice Location Address:

2961 DYER WAY
PLACERVILLE, CA
95667-9027

Practice Phone: 530-303-8729
Practice Fax:

1316157555 — KELLEE MILES-MARANZ
Practice Location Address:

1390 BROADWAY # B297
PLACERVILLE, CA
95667-5900

Practice Phone: 925-519-3375
Practice Fax:

1326286048 — MARSHALL MEDICAL CENTER
Practice Location Address:

4341 GOLDEN CENTER DR , SUITE B
PLACERVILLE, CA
95667-6260

Practice Phone: 530-621-3600
Practice Fax:

1609062389 — MARSHALL MEDICAL CENTER
Practice Location Address:

1095 MARSHALL WAY , SUITE 201
PLACERVILLE, CA
95667-5722

Practice Phone: 530-626-6155
Practice Fax:

Directions to “MARSHALL MEDICAL CENTER ” 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.