# MARSHALL MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Marshall Pediatric Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386065480
- **Authorized official:** MARTIN ENTWISTLE (INTERIM CEO)
- **Authorized official phone:** (530) 626-2868

## Contact information

- **Practice address:** 4341 GOLDEN CENTER DR, SUITE A, PLACERVILLE, CA 95667-6260
- **Practice address phone:** (530) 626-1144
- **Mailing address:** PO BOX 45680, SAN FRANCISCO, CA 94145-0680
- **Mailing address phone:** (530) 626-2787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 030000059 | CA | — |
| 261QR1300X | Rural Health Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 12/17/2013
- **Last updated:** 09/29/2026