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NPI 1568847424ActiveOrganization· Preferred Provider Organization· Placerville, CA
Preferred Provider Organization in Placerville, California, registered in NPPES in July 2015. The authorized official on file is Martin Glyn Pawson, MR, Owner.
Overview
| NPI | 1568847424 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 21, 2015 |
| Last updated in NPPES | Jul 21, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | NOT REQUIRED | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Other Preferred Provider Organization providers in Placerville
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- 1649470519
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