MARSHALL MEDICAL CENTER
NPI 1356904577
Clinic/Center - Adult Mental Health in Cameron Park, CA

Active since April 15, 2019CLIA 05D0614515 · Accreditation
3581 PALMER DR STE 202, CAMERON PARK, CA 95682(530) 672-7000 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marshall Medical Center NPPES

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

MARSHALL MEDICAL CENTER (NPI 1356904577), doing business as Marshall Psychiatry, is a healthcare organization registered as an adult mental health in Cameron Park, California and active in the NPI registry since April 2019. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Kim Sanguinetti-weishaar, Provider Credentialing, as its authorized official.

NPPES Registry Identity

NPI1356904577
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameMARSHALL MEDICAL CENTER
Location Address3581 PALMER DR STE 202Cameron Park, CA 95682-8237
Mailing AddressPo Box 45680San Francisco, CA 94145-0680 · (530) 626-2618
Organization SubpartNo
Authorized OfficialKim Sanguinetti-weishaarProvider Credentialing · (530) 626-2770
Enumeration DateApril 15, 2019
✔ NPI 1356904577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
3581 PALMER DR STE 202, Cameron Park, CA 95682

Other Names 1

Doing Business AsMarshall Psychiatry

Other Identifiers 1

MedicaidZZZ00439ZCA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marshall Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

149

Medicare enrollment records show 149 clinicians reassign Medicare billing to Marshall Medical Center, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 42 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Nurse Practitioner27
Obstetrics/Gynecology17
Internal Medicine15
Family Practice13
General Surgery9
Cardiovascular Disease (Cardiology)8
Hematology/Oncology8
Hospitalist7
16 other specialties45

Nearest to this location (20)

See all 149
Family Practice
NPI 1528130374
3581 PALMER DR SUITE 602
Cameron Park, CA 95682
(530) 626-2787
✔ PECOSSame address
Internal Medicine
NPI 1700149150
3581 PALMER DR SUIT 602
Cameron Park, CA 95682
(530) 627-7000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1811315492
3581 PALMER DR STE 602
Cameron Park, CA 95682
(530) 672-7000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225786171
3581 PALMER DR STE 602
Cameron Park, CA 95682
(530) 672-7000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437031986
3501 PALMER DR STE 201
Cameron Park, CA 95682
(530) 672-7040
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1215096953
3501 PALMER DR STE 201
Cameron Park, CA 95682
(530) 626-2611
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1487967576
3581 PALMER DR STE 400
Cameron Park, CA 95682
(530) 676-6600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1710681218
3581 PALMER DR STE 602
Cameron Park, CA 95682
(530) 672-7000
✔ PECOS✔ Accepts Medicare0.1 mi
Podiatry
NPI 1073563938
3106 PONTE MORINO DR SUITE B
Cameron Park, CA 95682
(530) 676-3668
✔ PECOS✔ Accepts Medicare0.2 mi
Gastroenterology
NPI 1801258686
3501 PALMER DR STE 201
Cameron Park, CA 95682
(530) 626-2611
✔ PECOS✔ Accepts Medicare0.2 mi
Rheumatology
NPI 1073597241
3501 PALMER DR SUITE 201
Cameron Park, CA 95682
(530) 672-7040
✔ PECOS✔ Accepts Medicare0.2 mi
Gastroenterology
NPI 1306223177
3501 PALMER DR STE 201
Cameron Park, CA 95682
(832) 712-7053
✔ PECOS✔ Accepts Medicare0.2 mi
Urology
NPI 1164612024
3501 PALMER DR SUITE 201
Cameron Park, CA 95682
(530) 626-9488
✔ PECOS✔ Accepts Medicare0.2 mi
Obstetrics/Gynecology
NPI 1811942204
3501 PALMER DR SUITE 204
Cameron Park, CA 95682
(530) 672-7040
✔ PECOS0.2 mi
Hematology/Oncology
NPI 1326202540
3102 PORTE MORINO DRIVE SUITE 100
Cameron Park, CA 95682
(530) 323-6600
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1508923814
5168 HONPIE RD
Placerville, CA 95667
(530) 387-4975
✔ PECOS✔ Accepts Medicare4.0 mi
Internal Medicine
NPI 1114273729
5170 GOLDEN FOOTHILL PKWY
El Dorado Hills, CA 95762
(916) 629-4443
✔ PECOS5.8 mi
Nurse Practitioner
NPI 1811703036
5137 GOLDEN FOOTHILL PKWY STE 120
El Dorado Hills, CA 95762
(530) 344-5400
✔ PECOS✔ Accepts Medicare5.9 mi
Sports Medicine
NPI 1235663857
5137 GOLDEN FOOTHILL PKWY STE 120
El Dorado Hills, CA 95762
(530) 344-2070
✔ PECOS✔ Accepts Medicare5.9 mi
Otolaryngology
NPI 1033181706
4300 GOLDEN CENTER DR STE D
Placerville, CA 95667
(530) 344-2000
✔ PECOS✔ Accepts Medicare7.9 mi
See all 149 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Accreditation 05D0614515

Marshall Medical Center Laboratory · Placerville, CA
Active · expires Feb 27, 2027
CLIA Number05D0614515
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Rebecca Sonu
Laboratory Phone(530) 626-2770
Laboratory LocationMarshall Medical Center Laboratory1100 Marshall Way, Placerville, CA 95667
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 1356904577. It was assigned to this organization in the NPPES registry on April 15, 2019. The provider is doing business as Marshall Psychiatry.

Where is Marshall Medical Center located?

Marshall Medical Center is located at 3581 Palmer Dr Ste 202, Cameron Park, CA 95682. The listed phone number is (530) 672-7000.

What is Marshall Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Marshall Medical Center enrolled in Medicare?

Yes. Marshall Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marshall Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 149 clinicians in 24 Medicare specialties reassign their Medicare billing to Marshall Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (27), Obstetrics/Gynecology (17) and Internal Medicine (15). Of these, 7 practice at this address and 42 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Marshall Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0614515) is associated with this NPI, valid through February 27, 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 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.