Marjorie Shelton-Gross

Primary specialty

Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VH0002X

License

G455730 Issued in CA

Practice address

1469 Humboldt Rd
Suite 200
Chico, CA 95928-9116

Phone

(530) 891-1917

NPI assigned

May 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1407068059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 ETHAN WAY",
            "address_2": "SUITE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252231",
            "telephone_number": "916-481-8600",
            "fax_number": "916-481-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 HUMBOLDT RD",
            "address_2": "SUITE 200",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959289116",
            "telephone_number": "530-891-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON-GROSS",
        "first_name": "MARJORIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VH0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "G455730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM70268F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM70370F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM70116G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR11629F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katarra Shaw, CPM LM
• Val Kern Shaw, MD
• Harpreet K Sheller
• Matthew Sheller, RN
• Shelly Yu DDS Inc
• Dania Mahmoud Kabbani Shelton, LM, CPM
• Stephanie Marie Shelton
• Craig C. Shepherd, DC, CCSP
• Twyla Eyvonne Sherbourne
• Sagan Lee Sheridan, LMFT

• Obstetrics & Gynecology Physician in Chico, CA
• Providers in Chico, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.