Provider Type Icon

MARIN MEDICAL GROUP INC. NPI 1528042330


NPI Information

NPI: 1528042330
Provider Name: MARIN MEDICAL GROUP, INC.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 05D0943538

Address:
1341 S ELISEO DR
GREENBRAE, CA
ZIP 94904
Phone: (415) 464-8169
Get Directions

MARIN MEDICAL GROUP, INC. is an internal medicine in Greenbrae, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MARIN MEDICAL GROUP, INC. NPI is 1528042330. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1341 S ELISEO DR
GREENBRAE, CA
ZIP 94904-000
Phone: (415) 464-8169
Fax: (415) 464-8177

The provider's authorized official is Judy Parker .
The authorized official title is Office Mgr and has the following contact phone number (415) 464-8169.

The CLIA number assigned to this NPI record is 05D0943538 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.