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MARIN COMMUNITY CLINIC
NPI 1093292765
Clinic/Center - Federally Qualified Health Center (FQHC) in San Rafael, CA

Active since July 25, 2018
411 4TH STRTEET, SUITE A, SAN RAFAEL, CA 94901(415) 798-3106(415) 798-3104 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 27, 2025, Jul 25, 2018 (2 updates tracked since 2018).

About Marin Community Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIN COMMUNITY CLINIC (NPI 1093292765) is a healthcare organization registered as a federally qualified health center (fqhc) in San Rafael, California and active in the NPI registry since July 2018. The organization lists Brenda Shipp, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1093292765
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMARIN COMMUNITY CLINIC
Location Address411 4TH STRTEET, SUITE ASan Rafael, CA 94901
Mailing Address9 Commercial Blvd Ste 103Novato, CA 94949-6118 · (415) 798-3106 · Fax (415) 798-3104
Phone(415) 798-3106
Fax(415) 798-3104
Organization SubpartNo
Authorized OfficialBrenda ShippChief Executive Officer · (415) 475-4572
Enumeration DateJuly 25, 2018
Last NPPES UpdateJune 27, 20252 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1093292765 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
411 4TH STRTEET, San Rafael, CA 94901
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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 1093292765. It was assigned to this organization in the NPPES registry on July 25, 2018.

Where is Marin Community Clinic located?

Marin Community Clinic is located at 411 4th Strteet Suite A, San Rafael, CA 94901. The listed phone number is (415) 798-3106.

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.

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 13 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.