PEACH TREE HEALTHCARE
PEACH TREE HEALTHCARE is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003863622, based in Marysville, CA. The organization lists 15 taxonomy classifications, with Federally Qualified Health Center (FQHC) recorded as primary.
Getting there
The practice address on file is 5730 PACKARD AVE SUITE 500, Marysville, CA 95901. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 550000005 | CA | Federally Qualified Health Center (FQHC) primary |
| E1137 | CA | Podiatrist |
| PA14393 | CA | Physician Assistant |
| 18608 | CA | Nurse Practitioner |
| A93985 | CA | Obstetrics & Gynecology Physician |
| A104819 | CA | Ophthalmology Physician |
| A60310 | CA | Pediatrics Physician |
| G42749 | CA | Psychiatry Physician |
| 2OA5572 | CA | General Practice Physician |
| PSY10876 | CA | Psychologist |
| LCS12778 | CA | Clinical Social Worker |
| 14503TLG | CA | Optometrist |
| A66235 | CA | Acupuncturist |
| A368140 | CA | Sports Medicine (Family Medicine)… |
This provider holds licence 550000005 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part A Provider - Federally Qualified Health Center (fqhc)
- PAC ID
- 7416978440
Medicare enrolment is recorded as approved under the provider type Part A Provider - Federally Qualified Health Center (fqhc). This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Federally Qualified Health Center (FQHC) covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QF0400X
All registered taxonomy codes
This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QF0400X | Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) | 550000005 | CA | primary |
| 213E00000X | Podiatrist | E1137 | CA | |
| 363A00000X | Physician Assistant | PA14393 | CA | |
| 363L00000X | Nurse Practitioner | 18608 | CA | |
| 207V00000X | Obstetrics & Gynecology Physician | A93985 | CA | |
| 207W00000X | Ophthalmology Physician | A104819 | CA | |
| 208000000X | Pediatrics Physician | A60310 | CA | |
| 2084P0800X | Psychiatry Physician Psychiatry | G42749 | CA | |
| 208D00000X | General Practice Physician | 2OA5572 | CA | |
| 103T00000X | Psychologist | PSY10876 | CA | |
| 1041C0700X | Clinical Social Worker Clinical | LCS12778 | CA | |
| 152W00000X | Optometrist | 14503TLG | CA | |
| 171100000X | Acupuncturist | A66235 | CA | |
| 171M00000X | Case Manager/Care Coordinator | — | — | |
| 207QS0010X | Sports Medicine (Family Medicine) Physician Sports Medicine | A368140 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003863622 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 28, 2006 |
| Last updated | May 23, 2022 |
| Status | Active |
| Practice address |
5730 PACKARD AVE SUITE 500 Marysville, CA 95901 (530) 749-3242 Fax (530) 749-3238 |
| Mailing address |
1114 YUBA ST STE 220 Marysville, CA 95901 |
| Other identifiers |
FHC11619G
(CA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 8 | 6 | 3 | 6 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 7 | 6 | 6 | 6 | 4 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.