Active NPI
Michael Joseph Marchesseault, M.D.
- Emergency Medicine Physician
- Quincy, CA
National Provider Identifier
1326063512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G71949
- Practice address
- 1065 Bucks Lake Rd
Quincy, CA 95971-9599 - Phone
- (530) 283-7161
- NPI assigned
- Jul 12, 2006
- Last updated
- Feb 18, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G719490 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| G71940 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Emergency Medicine Physician
- Colusa, CA
- NPI 1891726816
-
- Emergency Medicine Physician
- Mount Shasta, CA
- NPI 1417133125
-
- Emergency Medicine Physician
- Sonoma, CA
- NPI 1568553972
-
dba Woodland Emergency Physicians Medical Group, Inc.
- Emergency Medicine Physician
- Woodland, CA
- NPI 1831129568
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.