MARIN COMMUNITY CLINIC
NPI 1003900101
Clinic/Center - Federally Qualified Health Center (FQHC) in Novato, CA
About Marin Community Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIN COMMUNITY CLINIC (NPI 1003900101) is a healthcare organization registered as a federally qualified health center (fqhc) in Novato, California and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates and lists Brenda Shipp, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marin Community Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Marin Community Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 8
Clinicians, nearest first (17)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2026585
Marin Community Clinics - San Rafael Campus · San Rafael, CACertificate for Provider-Performed Microscopy Procedures (PPMP) 05D2131963
Marin Community Clinic Novato South · Novato, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marin Community Clinic's NPI number?
The NPI number for Marin Community Clinic is 1003900101. It was assigned to this organization in the NPPES registry on October 3, 2006.
Where is Marin Community Clinic located?
Marin Community Clinic is located at 6100 Redwood Blvd, Novato, CA 94945. The listed phone number is (415) 448-1500.
What is Marin Community Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Marin Community Clinic enrolled in Medicare?
Yes. Marin Community Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Marin Community Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 8 Medicare specialties reassign their Medicare billing to Marin Community Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (5), Nurse Practitioner (4) and Family Practice (3). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Marin Community Clinic hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Marin Community Clinic was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Marin Community Clinic · NPI 1003900101
Federally Qualified Health Center (FQHC) organization in Novato, California. Organization record, active in the CMS NPPES registry since October 3, 2006.
## Identity
- **NPI:** 1003900101 (Entity type: Organization)
- **Enumerated:** October 3, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Brenda Shipp, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 6100 REDWOOD BLVD, Novato, CA 94945-4505
- **Phone:** (415) 448-1500 · **Fax:** (415) 798-3198
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (5), Nurse Practitioner (4), Family Practice (3); 3 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2025
- **Other identifiers:** Medicaid FHC70941 (CA)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003900101) · Data from the CMS NPPES public registry.