Organization · Type 2 NPI

Marshall Medical Center

Rehabilitation Clinic/Center · El Dorado Hills, CA

NPI number 1972309326 Active

Practice location

4201 Town Center Blvd Bldg D
El Dorado Hills, CA 95762-7100

Call (530) 344-5464 Map

Mailing address

1100 Marshall Way
Placerville, CA 95667-6533

Specialties and licenses

Taxonomy	Code	License
Rehabilitation Clinic/Center Primary	261QR0400X	None listed

Rehabilitation Clinic/Center: Definition to come...

4 other providers at this address

Marshall Medical CenterFamily Medicine Physician El Dorado Hills, CA NPI 1114727377
Catherine Nyquist, PA-CPhysician Assistant El Dorado Hills, CA NPI 1013612753
Mira Lisboa AguirreLicensed Vocational Nurse El Dorado Hills, CA NPI 1366385601
Pritee Chhetri, FNPFamily Nurse Practitioner El Dorado Hills, CA NPI 1619406469

NPI record

NPI: 1972309326
Entity type: Organization (Type 2)
Issued: Feb 24, 2025
Last updated: Sep 25, 2026
Status: Active
Subpart: Yes of Marshall Medical Center

Other names

Center for Sports Rehabilitation and Active Living · doing business as

Authorized official

Martin Entwistle
Interim CEO
(530) 626-2868

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972309326

Marshall Medical Center's National Provider Identifier is 1972309326, issued on Feb 24, 2025. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in El Dorado Hills, CA. The record was last updated on Sep 25, 2026.