| Marshall Medical Center | |
|
1095 Marshall Way Suite 100 Placerville CA 95667-5722 | |
| (530) 626-2920 | |
| Not Available |
| Full Name | Marshall Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1095 Marshall Way, Placerville, California |
| Authorized Official Name and Position | Siri Nelson (CEO) |
| Authorized Official Contact | 5306262601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marshall Medical Center Po Box 45680 San Francisco CA 94145-0680 Ph: (530) 626-2920 | Marshall Medical Center 1095 Marshall Way Suite 100 Placerville CA 95667-5722 Ph: (530) 626-2920 |
| NPI Number | 1962506097 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 09/22/2025 |
| Medicare PECOS PAC ID | 7517875859 |
|---|---|
| Medicare Enrollment ID | O20031208001095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962506097 | NPI | - | NPPES |
| CT1847 | Other | CA | RAILROAD MEDICARE |
| Provider Name | Amrit P Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083615264 PECOS PAC ID: 5496651861 Enrollment ID: I20031208001092 |
| Provider Name | Deborah A Chong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902880297 PECOS PAC ID: 9739087495 Enrollment ID: I20031219000612 |
| Provider Name | Stanley C Henjum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144200486 PECOS PAC ID: 9931000452 Enrollment ID: I20040121000837 |
| Provider Name | Mukesh Dhanji Mungalpara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124029673 PECOS PAC ID: 3375535099 Enrollment ID: I20040401001280 |
| Provider Name | Prakashchandra Vallabhbhai Dobaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225039779 PECOS PAC ID: 6204828734 Enrollment ID: I20040402000296 |
| Provider Name | Juliet La Mers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073657367 PECOS PAC ID: 9234125261 Enrollment ID: I20040423000657 |
| Provider Name | Lucy A Buchert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306821145 PECOS PAC ID: 9032192380 Enrollment ID: I20040609000484 |
| Provider Name | Ketan P Ajudia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114934866 PECOS PAC ID: 0345217782 Enrollment ID: I20040914001166 |
| Provider Name | Paula Akin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225141047 PECOS PAC ID: 2264400175 Enrollment ID: I20040920000221 |
| Provider Name | Lee K Rea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205945953 PECOS PAC ID: 3779540547 Enrollment ID: I20041213001041 |
| Provider Name | Isaac Lowe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568447092 PECOS PAC ID: 5092753061 Enrollment ID: I20050420000601 |
| Provider Name | Maria L Rosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316923618 PECOS PAC ID: 9133168362 Enrollment ID: I20050427001035 |
| Provider Name | Peter A Barba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770647299 PECOS PAC ID: 4880636455 Enrollment ID: I20050524000640 |
| Provider Name | Alexander Massey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851463343 PECOS PAC ID: 4486697711 Enrollment ID: I20050607000860 |
| Provider Name | Mark Alezander Mansour |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1073597241 PECOS PAC ID: 6103862834 Enrollment ID: I20050705000528 |
| Provider Name | Grant R Gwinup |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669463964 PECOS PAC ID: 8123053345 Enrollment ID: I20050927000874 |
| Provider Name | Gordon T Fahey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457323446 PECOS PAC ID: 2860417052 Enrollment ID: I20051006000690 |
| Provider Name | Stephen Monroe Cyphers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821034539 PECOS PAC ID: 8921023060 Enrollment ID: I20051011000143 |
| Provider Name | Christopher J Molitor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407890924 PECOS PAC ID: 9830114974 Enrollment ID: I20051011000170 |
| Provider Name | Warren T Vance |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932145265 PECOS PAC ID: 1658396791 Enrollment ID: I20051011000199 |
| Provider Name | Troy S Dickson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063454445 PECOS PAC ID: 9436174281 Enrollment ID: I20051011000221 |
| Provider Name | Alicia Tobin-williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811942204 PECOS PAC ID: 0446266993 Enrollment ID: I20060221000877 |
| Provider Name | Necati Uygur Tekin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871566406 PECOS PAC ID: 4385653732 Enrollment ID: I20060412000305 |
| Provider Name | Harprit K Bajwa |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073563938 PECOS PAC ID: 5799684486 Enrollment ID: I20060504000311 |
| Provider Name | Gerardo S Galang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790711034 PECOS PAC ID: 8729092804 Enrollment ID: I20061031000562 |
| Provider Name | Philip Abela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528130374 PECOS PAC ID: 2860493079 Enrollment ID: I20070130000472 |
| Provider Name | Leanne M Camisa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124081377 PECOS PAC ID: 0941304042 Enrollment ID: I20070402000655 |
| Provider Name | Robert A Chase |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487757779 PECOS PAC ID: 8224042759 Enrollment ID: I20070626000293 |
| Provider Name | Maqbool Ahmed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760502710 PECOS PAC ID: 2365427192 Enrollment ID: I20070626000857 |
| Provider Name | Akiba E Green |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144422056 PECOS PAC ID: 1355436684 Enrollment ID: I20071002000616 |
| Provider Name | Ken R Clayton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215010194 PECOS PAC ID: 2769449750 Enrollment ID: I20080115000571 |
| Provider Name | Cesar Ang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225010218 PECOS PAC ID: 0446237424 Enrollment ID: I20080304000187 |
| Provider Name | Teresa H Levinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508923814 PECOS PAC ID: 7113004227 Enrollment ID: I20080414000162 |
| Provider Name | Warren King |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1154485753 PECOS PAC ID: 6305911413 Enrollment ID: I20080822000729 |
| Provider Name | William Koble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558367102 PECOS PAC ID: 3476620378 Enrollment ID: I20080918000220 |
| Provider Name | Wendy L Rosencrans Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942477575 PECOS PAC ID: 4880761436 Enrollment ID: I20080923000553 |
| Provider Name | Jatinder S Chana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235244922 PECOS PAC ID: 6901965433 Enrollment ID: I20081112000495 |
| Provider Name | Kristin E Sornborger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740407071 PECOS PAC ID: 6305906728 Enrollment ID: I20081114000680 |
| Provider Name | Richard P Detwiler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912949850 PECOS PAC ID: 8325093529 Enrollment ID: I20081202000418 |
| Provider Name | Thomas P Prindiville |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104879923 PECOS PAC ID: 9133193733 Enrollment ID: I20081203000632 |
| Provider Name | Pritpal Singh Randhawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063504348 PECOS PAC ID: 5991867251 Enrollment ID: I20081219000338 |
| Provider Name | Bradley Barnhill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326020983 PECOS PAC ID: 6800958703 Enrollment ID: I20090102000024 |
| Provider Name | Mohammed F Siddiqi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003933094 PECOS PAC ID: 8820152861 Enrollment ID: I20090205000441 |
| Provider Name | Devinder Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659495026 PECOS PAC ID: 1759447238 Enrollment ID: I20090309000136 |
| Provider Name | Gary W Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689601155 PECOS PAC ID: 3870663206 Enrollment ID: I20090624000384 |
| Provider Name | Scott A Vasconcello |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427260629 PECOS PAC ID: 7719030519 Enrollment ID: I20090727000394 |
| Provider Name | Evelyn L Kachikwu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023283124 PECOS PAC ID: 9638223480 Enrollment ID: I20090813000649 |
| Provider Name | Scott R Yoder |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770591539 PECOS PAC ID: 2668562430 Enrollment ID: I20090901000712 |
| Provider Name | Alexis F Long |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831426345 PECOS PAC ID: 9537201165 Enrollment ID: I20100120000780 |
| Provider Name | Debra Bugbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508181959 PECOS PAC ID: 1759411192 Enrollment ID: I20100611000431 |
| Provider Name | Parimal Bharucha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730284464 PECOS PAC ID: 4981602919 Enrollment ID: I20100726000501 |
| Provider Name | Kulwant Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811221674 PECOS PAC ID: 8628102605 Enrollment ID: I20100812000323 |
| Provider Name | David Jay Schneiderman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407867211 PECOS PAC ID: 1557556404 Enrollment ID: I20101117000688 |
| Provider Name | Christopher D J Romberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215096953 PECOS PAC ID: 7719035682 Enrollment ID: I20101228000747 |
| Provider Name | Lucienne S Bouvier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578641601 PECOS PAC ID: 7911187695 Enrollment ID: I20110212000144 |
| Provider Name | Asish Ghoshal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700087145 PECOS PAC ID: 5698956431 Enrollment ID: I20110225000817 |
| Provider Name | Pascal R. Fuchshuber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295885002 PECOS PAC ID: 7012190465 Enrollment ID: I20110323000507 |
| Provider Name | Harchitwant S Bhinder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972786911 PECOS PAC ID: 7618145400 Enrollment ID: I20110721000711 |
| Provider Name | Zakwan Quwatli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154468023 PECOS PAC ID: 3476732405 Enrollment ID: I20120727000727 |
| Provider Name | Daming Zhu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881742336 PECOS PAC ID: 8426214826 Enrollment ID: I20120731000185 |
| Provider Name | Samuel Jw Ceridon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679800247 PECOS PAC ID: 0446406797 Enrollment ID: I20120802000216 |
| Provider Name | Vishnu Shridath Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528391034 PECOS PAC ID: 2769508886 Enrollment ID: I20120827000204 |
| Provider Name | Courtnie G Billett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427287077 PECOS PAC ID: 6709036460 Enrollment ID: I20121016000250 |
| Provider Name | Michelle A Throp |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1942323464 PECOS PAC ID: 6305096835 Enrollment ID: I20121018000530 |
| Provider Name | Eleonor L Griffith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306079660 PECOS PAC ID: 9830340215 Enrollment ID: I20121112000449 |
| Provider Name | Jason Nelles |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164612024 PECOS PAC ID: 2668611047 Enrollment ID: I20130614000433 |
| Provider Name | Ali Parsa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851527063 PECOS PAC ID: 3577600816 Enrollment ID: I20131113000547 |
| Provider Name | Rashmi Ramasubbaiah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326202540 PECOS PAC ID: 3375724842 Enrollment ID: I20131216001487 |
| Provider Name | Nathan W Woolsey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427359488 PECOS PAC ID: 3173742954 Enrollment ID: I20140909001440 |
| Provider Name | Olena Lineberry |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093987364 PECOS PAC ID: 2264699057 Enrollment ID: I20141021000105 |
| Provider Name | Ajith K Chickaballapur Narayanaswamy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265779342 PECOS PAC ID: 7315189198 Enrollment ID: I20150707003079 |
| Provider Name | Anand J Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114273729 PECOS PAC ID: 1355655143 Enrollment ID: I20151026002726 |
| Provider Name | Jaya George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184850612 PECOS PAC ID: 4587965363 Enrollment ID: I20151221001431 |
| Provider Name | Swetha Mudunuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700149150 PECOS PAC ID: 7618271172 Enrollment ID: I20160204000346 |
| Provider Name | Lena Avedissian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215985494 PECOS PAC ID: 8729226618 Enrollment ID: I20160427001055 |
| Provider Name | Kerry-ann A Kelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023367141 PECOS PAC ID: 0941592901 Enrollment ID: I20160712001530 |
| Provider Name | Loni Jay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487097929 PECOS PAC ID: 8921221920 Enrollment ID: I20161007001437 |
| Provider Name | Sushma Pant |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1083668248 PECOS PAC ID: 7810965696 Enrollment ID: I20161223000242 |
| Provider Name | Daisy Klith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265975148 PECOS PAC ID: 2769766112 Enrollment ID: I20170302000474 |
| Provider Name | Mamatha Siricilla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487967576 PECOS PAC ID: 4688941693 Enrollment ID: I20170523001807 |
| Provider Name | Jeremy Michael Ernst |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821357161 PECOS PAC ID: 9032487236 Enrollment ID: I20170612002265 |
| Provider Name | Matthew S Cole |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851450522 PECOS PAC ID: 0446302426 Enrollment ID: I20170626002798 |
| Provider Name | Tonantzin Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518280288 PECOS PAC ID: 4486951043 Enrollment ID: I20170710002823 |
| Provider Name | Emilie Riddle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457526972 PECOS PAC ID: 9931239977 Enrollment ID: I20170803002770 |
| Provider Name | Daniel R Ferguson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194802991 PECOS PAC ID: 0941284749 Enrollment ID: I20170925003471 |
| Provider Name | Darshan Rameshchandra Dhingani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053547968 PECOS PAC ID: 3274797196 Enrollment ID: I20171010000017 |
| Provider Name | Niraj Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811315492 PECOS PAC ID: 0941422489 Enrollment ID: I20171017001157 |
| Provider Name | Abhishek Agarwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124257407 PECOS PAC ID: 7618150780 Enrollment ID: I20171215000968 |
| Provider Name | Evgenia Polosina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962817270 PECOS PAC ID: 0042518227 Enrollment ID: I20180831002348 |
| Provider Name | Kristin Anne Nurre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174099295 PECOS PAC ID: 3173863560 Enrollment ID: I20190321001646 |
| Provider Name | Joy A Cooper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659717601 PECOS PAC ID: 1456641950 Enrollment ID: I20190405001563 |
| Provider Name | Jessica M Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932664893 PECOS PAC ID: 9335481365 Enrollment ID: I20190423002355 |
| Provider Name | Tarandeep Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023203080 PECOS PAC ID: 1355526799 Enrollment ID: I20190806004387 |
| Provider Name | Amandeep Singh Dhillon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376997866 PECOS PAC ID: 0840520540 Enrollment ID: I20190923002976 |
| Provider Name | Subramanyeswara R Arekapudi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366671943 PECOS PAC ID: 6406146356 Enrollment ID: I20200512001823 |
| Provider Name | Ellen Chuang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417044512 PECOS PAC ID: 6709914112 Enrollment ID: I20200520002809 |
| Provider Name | Joshua David Seastrand |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649704388 PECOS PAC ID: 6507288966 Enrollment ID: I20200612001514 |
| Provider Name | Ravi Chopra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801059472 PECOS PAC ID: 7214108802 Enrollment ID: I20200729000206 |
| Provider Name | Lacey Etienne Neufeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053919258 PECOS PAC ID: 4789091703 Enrollment ID: I20210318001047 |
| Provider Name | Majd Michael |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306223177 PECOS PAC ID: 8628318425 Enrollment ID: I20210409001445 |
| Provider Name | Kashif A Zuberi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508919572 PECOS PAC ID: 9739339466 Enrollment ID: I20210810002939 |
| Provider Name | Viktor Gabriel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497199780 PECOS PAC ID: 5496034613 Enrollment ID: I20210909001956 |
| Provider Name | David T Santellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245903558 PECOS PAC ID: 9234536996 Enrollment ID: I20210922001855 |
| Provider Name | Scolastica Njoroge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679003826 PECOS PAC ID: 1456620178 Enrollment ID: I20211006001999 |
| Provider Name | Sarah Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225786171 PECOS PAC ID: 0244627008 Enrollment ID: I20220425002406 |
| Provider Name | Wai Kan Chiu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801258686 PECOS PAC ID: 9436497062 Enrollment ID: I20220620001004 |
| Provider Name | Kristopher Robert Waring |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013410877 PECOS PAC ID: 2567868490 Enrollment ID: I20220803002007 |
| Provider Name | Rachelle D Angelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386095768 PECOS PAC ID: 6103110333 Enrollment ID: I20220920001760 |
| Provider Name | Kimberly George |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366175002 PECOS PAC ID: 9638541956 Enrollment ID: I20230215001949 |
| Provider Name | Rebecca Ruth Barlow |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669095782 PECOS PAC ID: 6901279975 Enrollment ID: I20230223000061 |
| Provider Name | Megan Galloway |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376053702 PECOS PAC ID: 6800158809 Enrollment ID: I20230322002967 |
| Provider Name | Nigah Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710681218 PECOS PAC ID: 9537525431 Enrollment ID: I20230518003617 |
| Provider Name | Parneet Kaur |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528696812 PECOS PAC ID: 9830551936 Enrollment ID: I20230821002708 |
| Provider Name | Kelley J Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558044644 PECOS PAC ID: 1658734603 Enrollment ID: I20230824000975 |
| Provider Name | Christopher Kurnik |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1235663857 PECOS PAC ID: 2163793597 Enrollment ID: I20231020002663 |
| Provider Name | Ying Tan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538699913 PECOS PAC ID: 7416339858 Enrollment ID: I20240119001594 |
| Provider Name | Ashish A Tikotekar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982933909 PECOS PAC ID: 9133383912 Enrollment ID: I20240305004464 |
| Provider Name | Carling Cheung |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407385438 PECOS PAC ID: 5698159788 Enrollment ID: I20240506004231 |
| Provider Name | Mahboub Rahman Noori |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831695915 PECOS PAC ID: 7315389830 Enrollment ID: I20240529001373 |
| Provider Name | Jordan Howard Green |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063904829 PECOS PAC ID: 5193071314 Enrollment ID: I20240826003624 |
| Provider Name | Bente Kaiser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396825865 PECOS PAC ID: 3577665983 Enrollment ID: I20240909002091 |
| Provider Name | Edward Denious |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376593921 PECOS PAC ID: 3375549454 Enrollment ID: I20241004002723 |
| Provider Name | Courtney Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841025228 PECOS PAC ID: 5395270052 Enrollment ID: I20241119001642 |
| Provider Name | Jewel Josen George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811703036 PECOS PAC ID: 1951830926 Enrollment ID: I20250121003688 |
Keith Boston, M.d. Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3150 Gilmore St, Placerville, CA 95667 Phone: 530-622-4884 Fax: 530-622-1303 | |
Barba & Associates, Family Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 899 Spring St, Placerville, CA 95667 Phone: 530-621-3600 Fax: 530-621-3668 | |
El Dorado County Community Health C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4212 Missouri Flat Rd, Placerville, CA 95667 Phone: 530-621-7700 Fax: 530-621-7713 | |
Hall Chiropractic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 183 Placerville Dr Ste A, Placerville, CA 95667 Phone: 530-622-8041 | |
Precision Eyecare Optometry Placerville Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Main St, Placerville, CA 95667 Phone: 530-622-8300 Fax: 530-622-8304 | |
Marshall Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1004 Fowler Way, Suite 4, Placerville, CA 95667 Phone: 530-626-9488 | |
El Dorado County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 931 Spring Street, Placerville, CA 95667 Phone: 530-621-6100 Fax: 530-295-2501 |