Individual provider Active NPI

Michelle Marszalek

  • Psychiatric/Mental Health Nurse Practitioner
  • Camarillo, CA
National Provider Identifier
1598575508
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95030194 Issued in CA
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

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250129001371 CA Practitioner - Nurse Practitioner 0143759654 Reassigns benefits to 1 organization

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
The Los Angeles Free ClinicGroup PAC ID 5395886311, 26 clinicians

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

LicenseStateTypeSpecialty
95030194CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Los Angeles Free Clinic Current Accepting new patients
The Los Angeles Free Clinic CurrentSince Jul 6, 2025 Accepting new patients
The Los Angeles Free Clinic CurrentSince Jul 6, 2025 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.

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

Verify at the official NPI Registry.