MARIN HEALTHCARE DISTRICT (NPI# 1669745337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669745337 |
| Entity Type | Organization |
| Organization Name | MARIN HEALTHCARE DISTRICT |
| Other Organization Name | SAN RAFAEL MEDICAL CENTER |
| Practice Address |
706 D St San Rafael CA 94901-3757 |
| Mailing Address |
Po Box 45094 San Francisco CA 94145-0094 |
| Practice Telephone | 4152561980 |
| Practice Fax Number | 4152561981 |
| Mailing Telephone | 4154642090 |
| Mailing Fax Number | 4154642094 |
| Enumeration Date | 2012-02-10 |
| 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 | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE GROUP PTAN | CS440A | 01 |
| Other Name | Type Code |
|---|---|
| San Rafael 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 |
| 1174896799 | Marin Healthcare District | Family Medicine | 11150 Highway 1, Point Reyes Station, CA 94956-9756 | 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 |
| Street Address |
706 D ST |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-3757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831173855 | Elisabeth Regina Widman | Family Medicine | 706 D St, E Regina Widman Md, San Rafael, CA 94901-3757 | 2005-12-02 |
| 1932238003 | Ronald Golden | Acupuncturist | 706 D St, San Rafael, CA 94901-3757 | 2007-03-05 |
| 1033207667 | Herbert Spencer Bloch | Psychiatry & Neurology | 706 D St, San Rafael, CA 94901-3757 | 2006-10-10 |
| 1417042755 | Laura Foster Collins | Marriage & Family Therapist | 706 D St, San Rafael, CA 94901-3757 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366566499 | Jonathan Dietz | Family Medicine | 540 D St, 2, San Rafael, CA 94901-3867 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446091 | Candace Maglinao | Family Medicine | 21010 Anza Ave Apt 12, Torrance, CA 90503-4254 | 2020-10-30 |
| 1942826797 | In-home Medical Mobile Services, Inc. | Family Medicine | 3400 E 8th St Ste 202, National City, CA 91950-3169 | 2020-06-17 |
| 1386269306 | Universal Mobile Doctors Inc | Family Medicine | 15333 Sherman Way Ste P, Van Nuys, CA 91406-4204 | 2020-06-16 |
| 1619597671 | Harry Eisenbach | Family Medicine | 9312 Smoketree Ln, Villa Park, CA 92861-1011 | 2020-04-20 |
| 1669092854 | Wellbeing Clinic Inc | Family Medicine | 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 | 2020-04-17 |
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1457995565 | Ucsf Medical Group Business Services | Family Medicine | 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 | 2019-10-31 |
| 1780237313 | Charles Kim Md Inc | Family Medicine | 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 | 2019-07-23 |
| 1083277206 | Baum 5 Star Healthcare | Family Medicine | 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 | 2019-04-15 |
| 1477025278 | Connexus Family Clinic Inc | Family Medicine | 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 | 2018-12-19 |
| Find all providers with the same taxonomy | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on MARIN HEALTHCARE DISTRICT.
| 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.