Active NPI
Michelle Marszalek
- Psychiatric/Mental Health Nurse Practitioner
- Camarillo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95030194
- Practice address
- 601 E Daily Dr Ste 110
Camarillo, CA 93010-5838 - Phone
- (805) 485-5051
- Fax
- (805) 278-7945
- NPI assigned
- Jan 10, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95030194 | CA | Primary |
Addresses
Primary practice location
601 E Daily Dr Ste 110
Camarillo, CA 93010-5838
Mailing address
601 E Daily Dr Ste 110
Camarillo, CA 93010-5838
Phone (805) 485-5051
Other practice location 1
3646 Zenith Ave
Thousand Oaks, CA 91360-6261
Phone (630) 890-6530
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6043 Hollywood Blvd
Los Angeles, CA 90028-5411
Phone (323) 653-1990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95030194 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Los Angeles Free Clinic | Current | Accepting new patients | |
| The Los Angeles Free Clinic | Current | Accepting new patients | |
| The Los Angeles Free Clinic | Current | Accepting new patients |
Locations
5205 Melrose Ave
Los Angeles, CA 90038
Phone (323) 337-1878
6043 Hollywood Blvd
Los Angeles, CA 90028
Phone (323) 653-1990
8405 Beverly Blvd
West Hollywood, CA 90048
Phone (323) 653-1990
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1194893248
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1235271065
-
- Community/Retail Pharmacy
- Los Angeles, CA
- NPI 1558740852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1598575508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E DAILY DR STE 110",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930105838",
"telephone_number": "805-485-5051",
"fax_number": "805-278-7945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E DAILY DR STE 110",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930105838",
"telephone_number": "805-485-5051",
"fax_number": "805-278-7945"
}
],
"practiceLocations": [
{
"address_1": "3646 Zenith Ave",
"address_purpose": "LOCATION",
"city": "Thousand Oaks",
"state": "CA",
"postal_code": "913606261",
"country_code": "US",
"telephone_number": "630-890-6530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSZALEK",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-10",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95030194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.