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MARSHALL CARDIOLOGY
NPI 1215181664
Internal Medicine - Interventional Cardiology in Placerville, CA

Active since November 12, 2008CLIA 05D2127527 · Waiver
1004 FOWLER WAY, SUITE 4, PLACERVILLE, CA 95667(530) 626-9488 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2024, Sep 8, 2020, Nov 6, 2019 and 1 more (4 updates tracked since 2016).

About Marshall Cardiology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARSHALL CARDIOLOGY (NPI 1215181664) is a healthcare organization registered as an interventional cardiology in Placerville, California and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through March 13, 2027, maintains a secondary practice location in Cameron Park, and lists Siri Nelson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215181664
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameMARSHALL MEDICAL CENTER
Location Address1004 FOWLER WAY, SUITE 4Placerville, CA 95667-5746
Mailing AddressPo Box 45680San Francisco, CA 94145-0680 · (530) 626-9488
Phone(530) 626-9488
Organization SubpartNo
Authorized OfficialSiri NelsonCeo · (530) 622-1441
Enumeration DateNovember 12, 2008
Last NPPES UpdateApril 2, 20244 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1215181664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 030000059 (CA)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedUrologyTaxonomy 208800000X
1004 FOWLER WAY, Placerville, CA 95667
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Other Names 1

Other NameMarshall Cardiology

Secondary Practice Location 1

Location 13501 Palmer Dr Ste 204Cameron Park, CA 95682-8276 · Phone (530) 626-9488

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2127527

Marshall Cardiology - Cameron Park · Cameron Park, CA
Active · expires Mar 13, 2027
CLIA Number05D2127527
Laboratory TypeHospital
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorDaming Zhu
Laboratory Phone(530) 626-9488
Laboratory LocationMarshall Cardiology - Cameron Park3105 Palmer Dr, Ste 204, Cameron Park, CA 95682
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY LOUISE DAHL OTR L CHT
Occupational Therapist (Hand)
1004 FOWLER WAY, SUITE 9
PLACERVILLE, CA 95667
El Dorado County (530) 676-8004
BRUCE DEAN MILLER MD
Dermatology
1004 FOWLER WAY, SUITE 6
PLACERVILLE, CA 95667
El Dorado County (530) 626-1602
STANLEY C HENJUM II M.D.
Internal Medicine (Cardiovascular Disease)
1004 FOWLER WAY, #4
PLACERVILLE, CA 95667
El Dorado County (530) 626-9488
LENA AVEDISSIAN MD
Internal Medicine (Cardiovascular Disease)
1004 FOWLER WAY, SUITE 4
PLACERVILLE, CA 95667
El Dorado County (530) 626-9488
ROBERT E CARTER MD INC
Obstetrics & Gynecology
1004 FOWLER WAY, SUITE 1
PLACERVILLE, CA 95667
El Dorado County (530) 626-8670
DR. SCOTT ANTHONY VASCONCELLOS M.D.
Internal Medicine (Cardiovascular Disease)
1004 FOWLER WAY, SUITE 4
PLACERVILLE, CA 95667
El Dorado County (530) 626-9488
DEBRA ANNE BUGBEE FNP
Nurse Practitioner (Gerontology)
1004 FOWLER WAY, SUITE 4
PLACERVILLE, CA 95667
El Dorado County (530) 626-9488
DR. WILLIAM POLLOCK BARLEY JR. M.D.
Family Medicine
1004 FOWLER WAY, SUITE #1
PLACERVILLE, CA 95667
El Dorado County (530) 626-8003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marshall Medical Center's NPI number?

The NPI number for Marshall Medical Center is 1215181664. It was assigned to this organization in the NPPES registry on November 12, 2008. The provider is also known as Marshall Cardiology.

Where is Marshall Medical Center located?

Marshall Medical Center is located at 1004 Fowler Way Suite 4, Placerville, CA 95667. The listed phone number is (530) 626-9488.

What is Marshall Medical Center's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Does Marshall Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2127527) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marshall Medical Center was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.