Marshall B. Ketchum University
NPI 1174037493ActiveOrganization· Clinic/Center, Multi-Specialty· Anaheim, CA
Clinic/Center, Multi-Specialty in Anaheim, California, registered in NPPES in November 2017. The authorized official on file is Brandon Grove, MD, Director Of Medical Clinics.
Overview
| NPI | 1174037493 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 22, 2017 |
| Last updated in NPPES | Jan 18, 2024 |
| Certified by provider | Jan 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | — | — |
| Pharmacist | 183500000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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