MARIN PERSONALIZED MEDICINE, INC. (NPI# 1780025361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780025361 |
| Entity Type | Organization |
| Organization Name | MARIN PERSONALIZED MEDICINE, INC. |
| Practice Address |
1300 S Eliseo Dr Ste. # 203 Greenbrae CA 94904-2023 |
| Practice Telephone | 4159253617 |
| Mailing Telephone | 4159253617 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |
| Authorized Official Name | DAVID L OGDEN (OWNER) |
| Authorized Official Telephone | 4159253617 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
1300 S ELISEO DR STE. # 203 |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003887324 | David L Ogden | Internal Medicine | 1300 S Eliseo Dr, 203, Greenbrae, CA 94904-2023 | 2006-01-27 |
| 1376087882 | Gila C. Dorostkar, Dds, PC | Dentist | 1300 S Eliseo Dr, Suite 100, Greenbrae, CA 94904-2023 | 2016-12-19 |
| 1649667072 | Kwok Internal Medicine A Medical Corporation | Internal Medicine | 1300 S Eliseo Dr, Suite 203, Greenbrae, CA 94904-2023 | 2015-04-23 |
| 1225478936 | Cicely Brooke Smith | Dentist | 1300 S Eliseo Dr, Suite 100, Greenbrae, CA 94904-2023 | 2013-06-26 |
| 1629386867 | Mark Bazalgette, M.d., Inc. | Colon & Rectal Surgery | 1300 S Eliseo Dr, Suite 203, Greenbrae, CA 94904-2023 | 2010-09-22 |
| 1538489109 | Marin Nephrology | Internal Medicine | 1300 S Eliseo Dr, Suite 104, Greenbrae, CA 94904-2023 | 2010-06-07 |
| 1508007535 | Marin Surgical Associates | Surgery | 1300 S Eliseo Dr, Greenbrae, CA 94904-2023 | 2009-03-21 |
| 1699974899 | Anne M. Cummings, M.d. A Medical Corporation | Internal Medicine | 1300 S Eliseo Dr, Suite 201, Greenbrae, CA 94904-2023 | 2007-07-17 |
| 1558560482 | Genevieve Estilo | Internal Medicine | 1300 S Eliseo Dr, Suite 104, Greenbrae, CA 94904-2023 | 2007-07-11 |
| 1790983237 | Benjamin Joseph Nichols | Dermatology | 1300 S Eliseo Dr, Suite 207, Greenbrae, CA 94904-2023 | 2007-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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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.