Individual provider Active NPI

Marc B Cabanne, DO

  • Neurological Surgery Physician
  • Folsom, CA
National Provider Identifier
1578848347
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
20A12580 Issued in CA
Practice address
1625 Creekside Dr Ste 200
Folsom, CA 95630-3819
Phone
(916) 365-9590
Fax
(916) 292-8098
NPI assigned
Oct 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 20A12580 CA Primary

Addresses

Primary practice location

1625 Creekside Dr Ste 200
Folsom, CA 95630-3819

Mailing address

2001 Rattlesnake Rd
Newcastle, CA 95658-9722
Phone (916) 663-2100

Other identifiers 1

IdentifierTypeStateIssuer
20A12580OtherCAOSTEOPATHIC BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190327001193 CA Practitioner - NeurosurgeryPractitioner - Other (Physician) 2062752199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sierra Medical PartnershipGroup PAC ID 7810321858, 18 clinicians

Practice addresses (Care Compare)

1625 Creekside Dr
Suite 200
Folsom, CA 95630-3819
Phone (916) 365-9590

Hospital & facility affiliations

  • Mercy San Juan Medical Center Hospital, Carmichael, CA, CCN 050516
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Sutter Amador Hospital Hospital, Jackson, CA, CCN 050014
  • Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150
  • Mercy Hospital of Folsom Hospital, Folsom, CA, CCN 050414

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion60
Laminectomy or laminotomy (partial removal of spine bones)34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A12580CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Medical Partnership Neurological Surgery CurrentSince Mar 11, 2020 Accepting new patients
Sierra Medical Partnership CurrentSince Mar 11, 2020 Accepting new patients
Acute Care Surgery Medical Group, Inc. CurrentSince Sep 28, 2020 Accepting new patients
Dignity Health Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

275 Grass Valley Hwy
Auburn, CA 95603
Phone (530) 885-0344

6555 Coyle Ave
Ste 220
Carmichael, CA 95608
Phone (916) 241-9677

1625 Creekside Dr
Ste 200
Folsom, CA 95630
Phone (916) 250-2596

1580 Creekside Dr
Ste 130
Folsom, CA 95630
Phone (916) 542-1458

2001 Rattlesnake Rd
Newcastle, CA 95658
Phone (916) 663-2100

584 N Sunrise Ave
Ste 100
Roseville, CA 95661
Phone (916) 250-2596

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

Interoperability endpoints

  • Direct secure messaging: mcabanne434548@hisp.ehr.sutterhealth.org
  • Direct secure messaging: marc.cabanne.1@21842.direct.athenahealth.com

Organizations & group practices 6

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1578848347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 RATTLESNAKE RD",
            "city": "NEWCASTLE",
            "state": "CA",
            "postal_code": "956589722",
            "telephone_number": "916-663-2100",
            "fax_number": "916-663-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 CREEKSIDE DR STE 200",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303819",
            "telephone_number": "916-365-9590",
            "fax_number": "916-292-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANNE",
        "first_name": "MARC",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-12",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "20A12580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSTEOPATHIC BOARD",
            "identifier": "20A12580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.