Individual provider Active NPI

Robert Felton Marshall

  • Medical Physician Assistant
  • Oroville, CA
National Provider Identifier
1841696515
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA52853 Issued in CA
Practice address
2450 Oro Dam Blvd E
Oroville, CA 95966-6052
Phone
(530) 712-2310
NPI assigned
Nov 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA52853 CA Primary

Addresses

Primary practice location

2450 Oro Dam Blvd E
Oroville, CA 95966-6052

Mailing address

3264 Oak Farm LN
Santa Rosa, CA 95401-4046
Phone (707) 477-6446

Other practice location 1

1621 W Imola Ave
Napa, CA 94559-4721
Phone (707) 358-6781

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address urgentcareqvmc@sjhhandhmg.allscriptsdirect.net
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

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
I20151112001871 CA Practitioner - Physician Assistant 7012227572 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

1100 Trancas St
Napa, CA 94558-2909

1621 W Imola Ave
Napa, CA 94559-4721
Phone (707) 251-4280

200 W Ctr St Promenade
Anaheim, CA 92805-3960

500 Doyle Park Dr
Santa Rosa, CA 95405-4559

6580 Hembree LN
Suite 270
Windsor, CA 95492-6885
Phone (707) 838-2044

7373 W Lane
Stockton, CA 95210-3377
Phone (209) 476-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA52853CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group, Inc CurrentSince Sep 14, 2022 Accepting new patients
Permanente Medical Group Inc CurrentSince Sep 14, 2022 Accepting new patients
Providence Medical Foundation CurrentSince Mar 19, 2018 Accepting new patients
Providence Medical Foundation CurrentSince Mar 19, 2018 Accepting new patients
Sugaflo Physician Assistant Corporation CurrentSince Jun 11, 2026 Accepting new patients

Locations

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

1621 W Imola Ave
Napa, CA 94559
Phone (707) 251-4280

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

1500 Valley House Dr
Ste 210
Rohnert Park, CA 94928
Phone (707) 395-5048

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

401 Bicentennial Way
Santa Rosa, CA 95403
Phone (707) 393-4000

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Organizations & group practices 7

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 3

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": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1841696515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3264 OAK FARM LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014046",
            "telephone_number": "707-477-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ORO DAM BLVD E",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666052",
            "telephone_number": "530-712-2310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1621 W Imola Ave",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945594721",
            "country_code": "US",
            "telephone_number": "707-358-6781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "ROBERT",
        "middle_name": "FELTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-07",
        "last_updated": "2022-02-11",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA52853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urgentcareqvmc@sjhhandhmg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1621 W Imola Ave",
            "city": "Napa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945594721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "401 Bicentennial Wy",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oroville, CA

Sources for this page

Verify at the official NPI Registry.