TERRA LINDA PEDIATRICS


Address: 4000 Civic Center Dr, Suite 201, San Rafael, CA 94903-4171
Phone: 4154798642

TERRA LINDA PEDIATRICS (NPI# 1477587897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477587897
Entity Type Organization
Organization Name TERRA LINDA PEDIATRICS
Practice Address 4000 Civic Center Dr
Suite 201
San Rafael
CA 94903-4171
Practice Telephone 4154798642
Practice Fax Number 4154792434
Mailing Telephone 4154798642
Mailing Fax Number 4154792434
Enumeration Date 2006-07-10
Last Update Date 2020-08-22
Authorized Official Name DR. MICHAEL YAMAGUCHI (PRESIDENT)
Authorized Official Telephone 4154798642
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Office Location

Street Address 4000 CIVIC CENTER DR
SUITE 201
City SAN RAFAEL
State CA
Zip Code 94903-4171

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144219767 Cynthia Billmeyer Clark Emergency Medicine 4000 Civic Center Dr, San Rafael, CA 94903-4171 2005-10-17
1811597537 Eugenia Clark Behavior Technician 4000 Civic Center Dr, San Rafael, CA 94903-4171 2020-10-30
1316547698 Will Perkins Behavior Technician 4000 Civic Center Dr, San Rafael, CA 94903-4171 2020-10-27
1427657725 Emily Anne Thompson Behavior Technician 4000 Civic Center Dr, San Rafael, CA 94903-4171 2020-10-19
1659982478 Gregory Natt Behavioral Analyst 4000 Civic Center Dr, San Rafael, CA 94903-4171 2020-08-14
1124651120 Juliana Kathleen Biro Behavior Technician 4000 Civic Center Dr, San Rafael, CA 94903-4171 2020-02-18
1528691078 Kaitlyn Bette Rosenblatt Assistant Behavior Analyst 4000 Civic Center Dr, San Rafael, CA 94903-4171 2020-02-12
1104368778 Rajdeep Singh Nurse Practitioner 4000 Civic Center Dr, Suite 200, San Rafael, CA 94903-4171 2016-11-13
1033513742 Crizelda Lauron Optometrist 4000 Civic Center Dr, Suite 200a, San Rafael, CA 94903-4171 2014-10-09
1770917478 West Bay Urgent Care Associates Inc A Medical Corporation Emergency Medicine 4000 Civic Center Dr, Suite 206, San Rafael, CA 94903-5233 2013-08-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467089524 Christopher Sazo Counselor 1 St. Vincents Drive, San Rafael, CA 94903 2020-03-26
1134769482 Katherine Sieger Music Therapist 400 Civic Center Dr. #300, San Rafael, CA 94903 2020-01-14
1679064836 California In Home Care & Registry, Inc In Home Supportive Care 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 2018-05-23
1922557586 Helen Elizabeth Shamis Marriage & Family Therapist 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 2016-09-23
1033572771 Henry Colbert Counselor 1 St. St. Vincent Drive, San Rafael, CA 94903 2016-03-31
1659736924 Robyn Bloom Marriage & Family Therapist 4 Joseph Court, San Rafael, CA 94903 2015-12-30
1851760565 Cheryl Clementson Substance Abuse Rehabilitation Facility 301 Smith Ranch Road, San Rafael, CA 94903 2015-09-23
1588043731 Chelsea Cooney Counselor 1 St. Vincent's Drive, San Rafael, CA 94903 2015-05-20
1083002315 Kaiser Permanente Psychiatric Unit 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 2015-01-09
1366857856 Travel Well Corporation Preventive Medicine 28 Mitchell Blvd, San Rafael, CA 94903 2014-06-24
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467681247 Harvinder Mundh Md Corporation Clinic/Center 4000 Civic Center Dr Ste 205, San Rafael, CA 94903-5233 2009-07-14
1457599573 Victoria Moore Chiropractic Inc. Clinic/Center 1005 A St, 213, San Rafael, CA 94901-3123 2009-01-27
1710053608 Planned Parenthood Golden Gate Clinic/Center 2 H St, San Rafael, CA 94901-1700 2006-11-24
1548361504 Terra Linda Medical Group Clinic/Center 920 Northgate Dr, Suite 6, San Rafael, CA 94903-3429 2006-09-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467053272 West Sacramento Primary Care Inc. Clinic/Center 2455 Jefferson Blvd Ste 100, West Sacramento, CA 95691-5329 2020-11-06
1306447941 Bedford Breast Surgeons Clinic/Center 436 North Bedford Drive, Suite 105, Beverly Hills, CA 90210-4323 2020-11-02
1538767082 County of Los Angeles Clinic/Center 6902 Atlantic Ave, Bell, CA 90201-3647 2020-10-15
1225636855 Optimum Wellness and Weight Loss Clinic/Center 910 S El Camino Real Ste 100, San Clemente, CA 92672-4279 2020-10-15
1932707700 Body By Design Wellness and Massage Clinic, Inc. Clinic/Center 3625 E Thousand Oaks Blvd Ste 215216, Westlake Village, CA 91362-3626 2020-10-14
1639786189 Rams Ppe Clinic/Center 15329 Bonanza Rd Ste D, Victorville, CA 92392-2457 2020-09-29
1720695729 Vila Facial Plastic Surgery Clinic/Center 1000 S Eliseo Dr Ste 203, Greenbrae, CA 94904-2151 2020-09-24
1902410442 Hope Elementary School District Clinic/Center 3970 La Colina Rd Ste 14, Santa Barbara, CA 93110-1596 2020-09-02
1558974097 Jiseki Health Inc Clinic/Center 1150 S King Rd Ste 40, San Jose, CA 95122-2140 2020-08-25
1902417678 I-ma Acupuncture Inc Clinic/Center 2485 High School Ave Ste 123, Concord, CA 94520-1812 2020-08-14
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Competitor

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City SAN RAFAEL
Zip Code 94903

Improve Information

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Dataset Information

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.

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