Organization Active NPI

Marshall Healthcare Systems Inc

  • Internal Medicine Physician
  • Susanville, CA
National Provider Identifier
1043428345
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A70232 Issued in CA
Legal business name
MARSHALL HEALTHCARE SYSTEMS INC
Practice address
170 Russell Ave
Suite L
Susanville, CA 96130-4282
Phone
(530) 313-5529
Fax
(530) 387-3581
NPI assigned
May 18, 2007
Last updated
Apr 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Granville H Marshall Jr., M.D.NPI 1477761765
Title
President
Phone
(530) 313-5529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A70232 CA Primary

Addresses

Primary practice location

170 Russell Ave
Suite L
Susanville, CA 96130-4282

Mailing address

170 Russell Ave
Suite L
Susanville, CA 96130-4282
Phone (530) 313-5529

National Provider Directory

National Provider Directory

Locations

6041 Bolsa Ave
Ste 6
Huntington Beach, CA 92647
Phone (714) 898-9000

170 Russell Ave
Ste L
Susanville, CA 96130
Phone (530) 252-4188

713 Cottage St
Susanville, CA 96130
Phone (530) 257-9296

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1043428345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 RUSSELL AVE",
            "address_2": "SUITE L",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961304282",
            "telephone_number": "530-313-5529",
            "fax_number": "530-387-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 RUSSELL AVE",
            "address_2": "SUITE L",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961304282",
            "telephone_number": "530-313-5529",
            "fax_number": "530-387-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL HEALTHCARE SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "GRANVILLE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-313-5529",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Susanville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.