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MARIN COMMUNITY CLINIC
NPI 1003900101
Clinic/Center - Federally Qualified Health Center (FQHC) in Novato, CA

Active since October 03, 2006CLIA Certified · 6 labs
6100 REDWOOD BLVD, NOVATO, CA 94945(415) 448-1500(415) 798-3198 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 6 active CLIA laboratory certificates and lists Brenda Shipp, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1003900101
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMARIN COMMUNITY CLINIC
Location Address6100 REDWOOD BLVDNovato, CA 94945-4505
Mailing Address9 Commercial Blvd, Suite 103Novato, CA 94949-6118 · (415) 448-1500 · Fax (415) 798-3180
Phone(415) 448-1500
Fax(415) 798-3198
Organization SubpartNo
Authorized OfficialBrenda ShippChief Executive Officer · (415) 475-4572
Enumeration DateOctober 3, 2006
Last NPPES UpdateJune 27, 2025
NPPES CertifiedJune 27, 2025
✔ NPI 1003900101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · 110000491
6100 REDWOOD BLVD, Novato, CA 94945
Open in Google Maps ↗

Other Identifiers 1

MedicaidFHC70941CA

CLIA Laboratory Certificates CMS CLIA 7

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) 05D0926513

Marin Community Clinic - Larkspur · Larkspur, CA
Active · expires Jul 9, 2028
CLIA Number05D0926513
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 10, 2026
Certificate Expiration DateJuly 9, 2028
Laboratory DirectorXavier Perez
Laboratory Phone(415) 448-1500
Laboratory LocationMarin Community Clinic - Larkspur5 Bon Air Rd Ste 117, Larkspur, CA 94939
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2305750

Marin Community Clinic - Downtown San Rafael · San Rafael, CA
Active · expires Jun 4, 2028
CLIA Number05D2305750
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 5, 2026
Certificate Expiration DateJune 4, 2028
Laboratory DirectorJose Chibras-Sainz
Laboratory Phone(415) 448-1500
Laboratory LocationMarin Community Clinic - Downtown San Rafael999 Third St, Ste A, San Rafael, CA 94901
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2026585

Marin Community Clinic - San Rafael Campus · San Rafael, CA
Active · expires Jul 4, 2027
CLIA Number05D2026585
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 5, 2025
Certificate Expiration DateJuly 4, 2027
Laboratory DirectorMelanie Thompson
Laboratory Phone(415) 448-1500
Laboratory LocationMarin Community Clinic - San Rafael Campus3260 Kerner Blvd, San Rafael, CA 94901
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2131963

Marin Community Clinic Novato South · Novato, CA
Active · expires Jun 7, 2027
CLIA Number05D2131963
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorHeyman Oo
Laboratory Phone(415) 448-1500
Laboratory LocationMarin Community Clinic Novato South6090 Redwood Blvd, Novato, CA 94945
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2196314

Marin Community Clinic - Greenbrae · Greenbrae, CA
Active · expires Oct 14, 2026
CLIA Number05D2196314
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorXavier Perez
Laboratory Phone(415) 448-1500
Laboratory LocationMarin Community Clinic - Greenbrae1260 South Eliseo Dr Ste 201, Greenbrae, CA 94904
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1088714

Marin Community Clinic - San Rafael · San Rafael, CA
Active · expires Sep 1, 2026
CLIA Number05D1088714
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 2, 2024
Certificate Expiration DateSeptember 1, 2026
Laboratory DirectorMai Magliocco
Laboratory Phone(415) 448-1500
Laboratory LocationMarin Community Clinic - San Rafael3110 Kerner Blvd, San Rafael, CA 94901
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LARA BARTH FNP
Family Medicine
6100 REDWOOD BLVD
NOVATO, CA 94945
Marin County (415) 448-1500
MISS EMILY TERESE RIEDY RN, FNP
Nurse Practitioner (Family)
6100 REDWOOD BLVD
NOVATO, CA 94945
Marin County (415) 448-1500
HITHA VISHWANATH AMIN M.D
Pediatrics
6100 REDWOOD BLVD
NOVATO, CA 94945
Marin County (415) 798-3134
DANIELLE ROSS DO
Internal Medicine (Addiction Medicine)
6100 REDWOOD BLVD
NOVATO, CA 94945
Marin County (415) 448-1500
MARIE A KRISTENSEN NURSE PRACTICIONER
Nurse Practitioner (Family)
6100 REDWOOD BLVD
NOVATO, CA 94945
Marin County (415) 448-1500
JOLEEN D BISHOP N.P.
Nurse Practitioner (Women's Health)
6100 REDWOOD BLVD
NOVATO, CA 94945
Marin County (415) 448-1500
JAMIE MARIE SANDERS NP
Nurse Practitioner (Psychiatric/Mental Health)
6100 REDWOOD BLVD
NOVATO, CA 94945
Marin County (415) 448-1500
DR. HELENE WALTERS MD
Pediatrics
6100 REDWOOD BLVD
NOVATO, CA 94945
Marin County (415) 448-1500

Frequently 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.

Does Marin Community Clinic hold CLIA laboratory certificates?

Yes. 6 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 with the weekly NPPES data releases published by CMS.