Active NPI
Marc B Cabanne, DO
- Neurological Surgery Physician
- Folsom, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 20A12580
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20A12580 | Other | CA | OSTEOPATHIC 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
Enrollment records 1
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
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
- Sutter Roseville Medical Center
- Sutter Amador Hospital
- Sierra Nevada Memorial Hospital
- Mercy Hospital of Folsom
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 60 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 20A12580 | CA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Medical Partnership | Neurological Surgery | Current | Accepting new patients |
| Sierra Medical Partnership | Current | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Current | 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
- mcabanne434548@hisp.ehr.sutterhealth.org
- 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.
-
- Surgery Physician
- Sacramento, CA
- NPI 1700069549
-
- Surgery Physician
- El Dorado Hills, CA
- NPI 1801502679
-
- General Acute Care Hospital
- Carmichael, CA
- NPI 1972541498
-
- Preferred Provider Organization
- San Ramon, CA
- NPI 1679011035
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Folsom, CA
- NPI 1356389878
-
- General Acute Care Hospital
- Carmichael, CA
- NPI 1972541498
-
- General Acute Care Hospital
- Grass Valley, CA
- NPI 1659361392
-
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
-
- General Acute Care Hospital
- Jackson, CA
- NPI 1447494323
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.