MARIN HEALTHCARE DISTRICT (NPI# 1942573555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942573555 |
| Entity Type | Organization |
| Organization Name | MARIN HEALTHCARE DISTRICT |
| Other Organization Name | SOLUNA SAUSALITO HEALTH CENTER |
| Practice Address |
111 Second St Sausalito CA 94965-2526 |
| Mailing Address |
100 Drakes Landing Rd # B Suite 250 Greenbrae CA 94904-2404 |
| Practice Telephone | 4153322600 |
| Practice Fax Number | 4153322610 |
| Mailing Telephone | 4154642090 |
| Mailing Fax Number | 4154642094 |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |
| 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 |
|---|---|
| Soluna Sausalito Health 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 |
| 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 |
| 1336412006 | Marin Healthcare District | Internal Medicine | 1341 S Eliseo Dr, Suite 200, Greenbrae, CA 94904-2000 | 2012-02-10 |
| Street Address |
111 SECOND ST |
| City | SAUSALITO |
| State | CA |
| Zip Code | 94965-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003105271 | Joel Evan Steiber | Acupuncturist | 111 Second St, Sausalito, CA 94965-2526 | 2011-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093369423 | Claire Myers | Counselor | 630 Drake Avenue, Csd Building, Marin City, CA 94965 | 2019-07-24 |
| 1750624797 | 10 Minute Fitness Inc. | Durable Medical Equipment & Medical Supplies | 3 Harbor Dr. #112, Sausalito, CA 94965 | 2013-03-28 |
| 1548590169 | Jeffrey James Kacirk | Chiropractor | 80 Harrison Ave, #6, Sausalito, CA 94965 | 2010-01-04 |
| 1922213305 | Patrick Hammill Lee | Dentist | 107 Caledonia Street, Suite I, Sausalito, CA 94965 | 2007-05-11 |
| 1811020688 | Parvaneh Bairami | Registered Nurse | 2400 Bridgeway, Suite 200, Sasaulito, CA 94965 | 2007-03-13 |
| 1518027671 | Helen Chandler | Registered Nurse | 13 Braun Court, Sausalito, CA 94965 | 2006-12-11 |
| 1407916224 | Marcus H Small | Marriage & Family Therapist | 639 Drake Ave., Marin City, CA 94965 | 2006-12-11 |
| 1710068085 | Aida C Miles | Dietitian, Registered | 7 Cloudview Trail, Sausalito, CA 94965 | 2006-10-17 |
| 1942308515 | Nancy S. Hollis | Chiropractor | 3a Gate 5 Road, Sausalito, CA 94965 | 2006-09-20 |
| 1205947702 | Edwin J Zinman | Dentist | 220 Bush St, 1600, San Francisco, CA 94965 | 2006-08-31 |
| Find all providers in zip 94965 | ||||
| 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 |
|---|---|---|---|---|
| 1518490978 | Andrea Nichelle Young | Family Medicine | 445 Sausalito Blvd, Sausalito, CA 94965-2333 | 2017-04-04 |
| 1710419098 | Andrea Young Do, Inc | Family Medicine | 1 Princess St, Sausalito, CA 94965-2209 | 2017-03-28 |
| 1740628213 | Mazen Farouk Hariri | Family Medicine | 3 Harbor Dr Ste 111, Sausalito, CA 94965-1491 | 2013-06-06 |
| 1417994229 | Soluna Health,inc. | Family Medicine | 111 2nd St, Sausalito, CA 94965-2526 | 2006-06-01 |
| 1255528972 | Carianne Blomquist | Family Medicine | 630 Drake Ave, Sausalito, CA 94965-1107 | 2007-09-26 |
| 1265470173 | Naureen A. Shaikh | Family Medicine | 111 Second Street, Sausalito, CA 94965 | 2006-06-03 |
| 1841237153 | Cheri J. Forrester | Family Medicine | 3 Harbor Drive, Suite 111, Sausalito, CA 94965 | 2006-06-02 |
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| 1831790112 | Universal Healthcare Services, Inc. | Family Medicine | 6025 Niles St, Bakersfield, CA 93306-4696 | 2020-11-04 |
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1417558842 | San Judas Tadeo Medical Group, Inc. | Family Medicine | 1000 S La Brea Ave Ste 2, Inglewood, CA 90301-3869 | 2020-11-03 |
| 1174123038 | Socal Medical Center., Inc. | Family Medicine | 1350 E Los Angeles Ave Ste 204, Simi Valley, CA 93065-2860 | 2020-10-29 |
| 1205435864 | Montana Affinity LLC | Family Medicine | 820 N Mountain Ave Ste 103, Upland, CA 91786-4163 | 2020-10-23 |
| 1861091126 | Silvia Diego Md Inc A Professional Medical Corp | Family Medicine | 1317 Oakdale Rd Ste 100, Modesto, CA 95355-3362 | 2020-10-19 |
| 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 | ||||
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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.