Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Larry J Marshall, MD

Individual provider Family Medicine Physician · NPI 1114018132

Dr. Larry J Marshall, MD is a Family Practice in Lakeside, California. Qualified in 1985, 41 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Nevada.

Years since qualifying
41
Licensed in
CA, NV
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12517 Lakeshore Dr
Lakeside, CA 92040-3103
Phone: (619) 443-3843
Fax: (619) 390-1810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145 — (702) 791-1294

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A52344 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 16913 (NV)

Record details

NPI number1114018132
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 27, 2006
Last updated in NPPESDecember 16, 2020
Certification dateDecember 16, 2020
Mailing address12517 Lakeshore Dr, Lakeside, CA 92040-3103

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lakeside