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WEST MARIN MEDICAL CENTER
NPI 1174896799
Family Medicine in Point Reyes Station, CA

Active since February 13, 2012CLIA 05D2021021 · Waiver
11150 HIGHWAY 1, POINT REYES STATION, CA 94956(415) 663-1082(415) 663-9474 Get Directions Write a Review

NPPES record last updated: October 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About West Marin Medical Center NPPES

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

WEST MARIN MEDICAL CENTER (NPI 1174896799) is a healthcare organization registered as a family medicine in Point Reyes Station, California and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Lee Domanico, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174896799
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMARIN HEALTHCARE DISTRICT
Location Address11150 HIGHWAY 1Point Reyes Station, CA 94956-9756
Mailing AddressPo Box 45094San Francisco, CA 94145-0094 · (415) 464-2090 · Fax (415) 464-2094
Phone(415) 663-1082
Fax(415) 663-9474
Organization SubpartNo
Authorized OfficialLee DomanicoCeo · (415) 464-2090
Enumeration DateFebruary 13, 2012
Last NPPES UpdateOctober 31, 2013
✔ NPI 1174896799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11150 HIGHWAY 1, Point Reyes Station, CA 94956
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Other Names 1

Other NameWest Marin Medical Center

Other Identifiers 1

OtherCS440ACA · Medicare Group Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 of Waiver 05D2021021

Marin Healthcare District West Marin Medical Ctr · Pt Reyes Station, CA
Active · expires Mar 2, 2027
CLIA Number05D2021021
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorBasil C. Hamblin
Laboratory Phone(415) 663-1082
Laboratory LocationMarin Healthcare District West Marin Medical Ctr11150 State Route One, Pt Reyes Station, CA 94956
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

STEPHANIE E WORSEY FNP
Nurse Practitioner
11150 HIGHWAY 1
POINT REYES STATION, CA 94956
Marin County (415) 663-1082
COLIN HAMBLIN, A PROFESSIONAL MEDICAL CORPORATION
Family Medicine
11150 HIGHWAY 1
POINT REYES STATION, CA 94956
Marin County (415) 663-1082
JULIE ANNA BALLARD PA-C
Physician Assistant
11150 HIGHWAY 1
POINT REYES STATION, CA 94956
Marin County (415) 663-1082
MS. CHERYL DIANNE HIGGINS NP
Nurse Practitioner (Family)
11150 HIGHWAY 1
POINT REYES STATION, CA 94956
Marin County (415) 663-1082
MICHAEL CARTER WHITT MD
General Practice
11150 HIGHWAY 1
PT REYES STA, CA 94956
Marin County (415) 663-1082
MS. LEANDRA WALLACE NP
Nurse Practitioner
11150 HIGHWAY 1
POINT REYES STATION, CA 94956
Marin County (415) 663-1082

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 Healthcare District's NPI number?

The NPI number for Marin Healthcare District is 1174896799. It was assigned to this organization in the NPPES registry on February 13, 2012. The provider is also known as West Marin Medical Center.

Where is Marin Healthcare District located?

Marin Healthcare District is located at 11150 Highway 1, Point Reyes Station, CA 94956. The listed phone number is (415) 663-1082.

What is Marin Healthcare District's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Marin Healthcare District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2021021) is associated with this NPI, valid through March 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marin Healthcare District was last updated on October 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.