MARIN COMMUNITY CLINIC
NPI 1124021738
Clinic/Center - Federally Qualified Health Center (FQHC) in Greenbrae, CA
NPI Status: Active since May 27, 2005
Contact Information
250 BON AIR RD
GREENBRAE, CA
ZIP 94904
Phone: (415) 448-1500
Fax: (415) 461-4229
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 05D2026585
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 07-04-2027
About MARIN COMMUNITY CLINIC
This page provides the complete NPI Profile along with additional information for Marin Community Clinic, a primary care provider established in Greenbrae, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1124021738 assigned on May 2005. The practitioner's primary taxonomy code is 261QF0400X with license number 1100366 (CA). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Brenda Shipp (Chief Executive Officer)
- NPI
- 1124021738
- Provider Name
- MARIN COMMUNITY CLINIC
- Entity Type
- Organization
- Location Address
- 250 BON AIR RD GREENBRAE, CA 94904
- Location Phone
- (415) 448-1500
- Location Fax
- (415) 461-4229
- Mailing Address
- 300 PROFESSIONAL CENTER DR STE 311 NOVATO, CA 94947
- Mailing Phone
- (415) 448-1531
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-27-2005
- Last Update Date
- 06-27-2025
- Code Navigator
A primary care provider (PCP) like Marin Community Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
- License No.
- 1100366
- License State
- CA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1100366 | OTHER (01) | CA | DHS LICENSE - GREENBRAE |
| FHC11975 | MEDICAID (05) | CA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2026585
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- July 05, 2025
- Certificate Expiration Date
- July 04, 2027
- Laboratory Director
- MELANIE THOMPSON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Marin Community Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124021738, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GREENBRAE, CA 94904
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124021738, enumerated as an "organization" on May 27, 2005.
The provider is located at 250 BON AIR RD GREENBRAE, CA 94904 and the phone number is (415) 448-1500.
Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
