MEDICARE: MARSHALL MEDICAL CENTER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	030000059	CA

General Provider Information

NPI Number	:	1992705040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARSHALL MEDICAL CENTER

Provider Business Mailing Address
First Line	:	6425 CAPITOL AVE STE 120
Second Line	:
City	:	DIAMOND SPRINGS
State	:	CA
Zip	:	95619-9457
Country	:	US
Telephone Number	:	530-626-2900
Fax Number	:

Provider Business Practice Location Address
First Line	:	6425 CAPITOL AVE
Second Line	:
City	:	DIAMOND SPRINGS
State	:	CA
Zip	:	95619-9457
Country	:	US
Telephone Number	:	530-626-2900
Fax Number	:	530-626-2910

Authorized Official
Title or Position	:	CEO
Name	:	MRS. SIRI NELSON
Credential	:
Telephone Number	:	530-626-2601

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	11/25/2025

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Directions to “MARSHALL MEDICAL CENTER ” Practice Location

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