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Peach Tree Healthcare

Federally Qualified Health Center (FQHC) in Marysville, CA · enumerated 2006 · authorized official Greg Stone, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003863622

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Registry record

Entity type Organization (Type 2)
Legal business name Peach Tree Healthcare
Other name <Unavail>
Practice address 5730 Packard Ave, Suite 500, Marysville, CA, 95901
Fax (530) 749-3238
Enumeration date May 28, 2006
Last updated in NPPES May 23, 2022

Taxonomy & classification

103T00000X Psychologist Behavioral Health & Social Service Providers · License PSY10876 (CA) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License LCS12778 (CA) Secondary
152W00000X Optometrist Eye and Vision Services Providers · License 14503TLG (CA) Secondary
171100000X Acupuncturist Other Service Providers · License A66235 (CA) Secondary
171M00000X Case Manager/Care Coordinator Other Service Providers Secondary
207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License A368140 (CA) Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians · License A93985 (CA) Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License A104819 (CA) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License A60310 (CA) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License G42749 (CA) Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License 2OA5572 (CA) Secondary
213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License E1137 (CA) Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities · License 550000005 (CA) Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA14393 (CA) Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 18608 (CA) Secondary

Authorized official

Name Greg Stone
Title Ceo

Other identifiers

Identifier Type State Issuer
FHC11619G Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Peach Tree Healthcare?
Peach Tree Healthcare is registered in NPPES as a Federally Qualified Health Center (FQHC) (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-05-23.