MARIN HEALTHCARE DISTRICT (NPI# 1174896799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174896799 |
| Entity Type | Organization |
| Organization Name | MARIN HEALTHCARE DISTRICT |
| Other Organization Name | WEST MARIN MEDICAL CENTER |
| Practice Address |
11150 Highway 1 Point Reyes Station CA 94956-9756 |
| Mailing Address |
Po Box 45094 San Francisco CA 94145-0094 |
| Practice Telephone | 4156631082 |
| Practice Fax Number | 4156639474 |
| Mailing Telephone | 4154642090 |
| Mailing Fax Number | 4154642094 |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2013-10-31 |
| Authorized Official Name | LEE DOMANICO (CEO) |
| Authorized Official Telephone | 4154642090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE GROUP PTAN | CS440A | 01 |
| Other Name | Type Code |
|---|---|
| West Marin Medical Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366819278 | Marin Healthcare District | Surgery | 100 Drakes Landing Rd # B, Suite 250, Greenbrae, CA 94904-2404 | 2015-08-26 |
| 1659609964 | Marin Healthcare District | Clinic/Center | 100 B Drakes Landing Road, Ste. 250, Greenbrae, CA 94904-3121 | 2009-11-24 |
| 1023484425 | Marin Healthcare District | Surgery | 75 Rowland Way, Suite 101, Novato, CA 94945-5037 | 2015-08-19 |
| 1770913741 | Marin Healthcare District | Internal Medicine | 1100 S Eliseo Dr, Suite 2a, Greenbrae, CA 94904-2017 | 2013-11-12 |
| 1467881201 | Marin Healthcare District | Urology | 1000 S Eliseo Dr, Suite 201, Greenbrae, CA 94904-2133 | 2013-11-02 |
| 1891124632 | Marin Healthcare District | Surgery | 1100 S Eliseo Dr, Suite 2a, Greenbrae, CA 94904-2017 | 2013-11-02 |
| 1942573555 | Marin Healthcare District | Family Medicine | 111 Second St, Sausalito, CA 94965-2526 | 2012-02-13 |
| 1164795829 | Marin Healthcare District | Internal Medicine | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1141 | 2012-02-10 |
| 1851664528 | Marin Healthcare District | Internal Medicine | 165 Rowland Way, Suite 201, Novato, CA 94945-5038 | 2012-02-10 |
| 1336412006 | Marin Healthcare District | Internal Medicine | 1341 S Eliseo Dr, Suite 200, Greenbrae, CA 94904-2000 | 2012-02-10 |
| Street Address |
11150 HIGHWAY 1 |
| City | POINT REYES STATION |
| State | CA |
| Zip Code | 94956-9756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699833780 | Cheryl Dianne Higgins | Nurse Practitioner | 11150 Highway 1, Point Reyes Station, CA 94956 | 2006-12-04 |
| 1851762553 | Leandra Wallace | Nurse Practitioner | 11150 Highway 1, Point Reyes Station, CA 94956-9756 | 2015-10-07 |
| 1649664087 | Colin Hamblin, A Professional Medical Corporation | Family Medicine | 11150 Highway 1, Point Reyes Station, CA 94956 | 2015-03-24 |
| 1811024599 | Carolyn Ruth Chase | Registered Nurse | 11150 Highway 1, Point Reyes Station, CA 94956 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356801666 | Kira Gentle Barron | Dentist | 65 Third St. Suite 13, Point Reyes Station, CA 94956 | 2019-03-22 |
| 1477062537 | Freda Weitzer | Physical Therapist | 11431 State Route 1, Suite 9, Point Reyes Station, CA 94956 | 2017-09-21 |
| 1508232497 | Leslie Mcgarvey, Dds | Dentist | 65 Third Street, Suite 13, Point Reyes Station, CA 94956 | 2015-08-14 |
| 1316320682 | Ann M Mendenhall | Physician Assistant | 3 Vallejo Ave, Point Reyes Station, CA 94956 | 2015-07-06 |
| 1356732325 | Coastal Health Alliance | Clinic/Center | 503 B Street, Point Reyes Station, CA 94956 | 2015-02-12 |
| 1275766297 | Angelo Anthony Sacheli I | Social Worker | 100 Sixth St., Point Reyes, CA 94956 | 2009-08-25 |
| 1336374842 | Wendy Etsuko Siu | Student in an Organized Health Care Education/Training Program | 100 6th St., Point Reyes Station, CA 94956 | 2009-05-28 |
| 1023269750 | James Kimball Goetz | Psychologist | 65 3rd Street, 29 B, Point Reyes Station, CA 94956 | 2008-09-30 |
| 1356527055 | Rosaleen Curry Shelley | Registered Nurse | 3 6th Street, Box 910, Point Reyes Station, CA 94956 | 2008-01-14 |
| 1558543025 | Michael C Whitt Md, A Prof. Corp. | General Practice | 11150 State Route 1, Pt Reyes Sta, CA 94956 | 2007-11-27 |
| Find all providers in zip 94956 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114095106 | Basil Colin Hamblin | Family Medicine | 11150 State Route One, Point Reyes Station, CA 94956 | 2006-11-30 |
| 1851408868 | Eric A Holmberg | Family Medicine | 3 6th St., Point Reyes Station, CA 94956 | 2006-08-24 |
| 1649664087 | Colin Hamblin, A Professional Medical Corporation | Family Medicine | 11150 Highway 1, Point Reyes Station, CA 94956 | 2015-03-24 |
| 1316280985 | Gabriel Harrison Elias Klapman | Family Medicine | 3 Sixth Street, Point Reyes Station, CA 94956 | 2013-04-02 |
| 1790832269 | Michael Jonathan Witte | Family Medicine | 3 Sixth Street, Point Reyes Station, CA 94956-0910 | 2007-01-05 |
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| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | POINT REYES STATION |
| Zip Code | 94956 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.