Individual provider Active NPI

Michael Joseph Marchesseault, M.D.

  • Emergency Medicine Physician
  • Quincy, CA
National Provider Identifier
1326063512
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G71949 Issued in CA
Practice address
1065 Bucks Lake Rd
Quincy, CA 95971-9599
Phone
(530) 283-7161
NPI assigned
Jul 12, 2006
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G71949 CA Primary

Addresses

Primary practice location

1065 Bucks Lake Rd
Quincy, CA 95971-9599

Mailing address

240 Spruce St
Gridley, CA 95948-2216

Other practice location 1

199 E Webster St
Colusa, CA 95932-2954
Phone (530) 458-3283

Other identifiers 1

IdentifierTypeStateIssuer
00G719490MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmarchesseault@PDH.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G71940CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoma Valley Emergency Physician Medical Group, Inc Emergency Medicine Past Accepting new patients
Sonoma Valley Emergency Physicians Medical Group, Inc. Emergency Medicine Past Accepting new patients
Valley Emergency Physicians Emergency Medicine Past Accepting new patients
Colusa Emergency Physicians Medical Group, Inc. Emergency Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mmarchesseault@pdh.cernerdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1326063512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SPRUCE ST",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959482216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 BUCKS LAKE RD",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719599",
            "telephone_number": "530-283-7161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 E Webster St",
            "address_purpose": "LOCATION",
            "city": "Colusa",
            "state": "CA",
            "postal_code": "959322954",
            "country_code": "US",
            "telephone_number": "530-458-3283",
            "fax_number": "530-458-3215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCHESSEAULT",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G71949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G719490",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmarchesseault@PDH.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Plumas District Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1065 Bucks Lake Rd",
            "city": "Quincy",
            "state": "CA",
            "country_code": "US",
            "postal_code": "959719599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Quincy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.