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

Samuel J W Ceridon, MD

Individual provider Family Medicine Physician · NPI 1679800247

Samuel J W Ceridon, MD is a Family Practice in Placerville, California. Graduated from University of Colorado School of Medicine, Denver in 2009, 17 years ago. Practices with Marshall Medical Center, a 171-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
17
Trained at
University of Colorado School of Medicine, Denver
Licensed in
CA
In the registry since
2009
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

1095 Marshall Way
Placerville, CA 95667-5722
Phone: (530) 626-2920
Fax: (530) 748-0328
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A116725 (CA)

Record details

NPI number1679800247
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 3, 2009
Last updated in NPPESSeptember 17, 2012

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated 2009 (17 years in practice)
Group practice Marshall Medical Center — 171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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