Organization
MARSHALL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRI NELSON (CEO)
(530) 622-1441
Entity
Organization
Contact information
Practice address
1045 MARSHALL WAY, PLACERVILLE, CA 95667-5721
(530) 622-8204
(530) 622-8205
Mailing address
PO BOX 45680, SAN FRANCISCO, CA 94145-0680
(530) 626-2787
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ00439Z
—
CA
Enumeration date
10/12/2018
Last updated
03/09/2026
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