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

NPI Status: Active since February 13, 2012

Contact Information

11150 HIGHWAY 1
POINT REYES STATION, CA
ZIP 94956
Phone: (415) 663-1082
Fax: (415) 663-9474

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  • Organization
  • Family Medicine
  • CLIA Number: 05D2021021
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 03-02-2027

About WEST MARIN MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for West Marin Medical Center, a primary care provider established in Point Reyes Station, California operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1174896799 assigned on February 2012. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. West Marin Medical Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is West Marin Medical Center. The authorized official of this NPI record is Lee Domanico (Ceo)

NPI
1174896799
Provider Legal Name
MARIN HEALTHCARE DISTRICT
Other Organization Name
WEST MARIN MEDICAL CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
11150 HIGHWAY 1 POINT REYES STATION, CA 94956
Location Phone
(415) 663-1082
Location Fax
(415) 663-9474
Mailing Address
PO BOX 45094 SAN FRANCISCO, CA 94145
Mailing Phone
(415) 464-2090
Mailing Fax
(415) 663-9474
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2012
Last Update Date
10-31-2013
Code Navigator

A primary care provider (PCP) like West Marin Medical Center 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LEE DOMANICO

Authorized Official Title
CEO
Authorized Official Phone
(415) 464-2090

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
CS440AOTHER (01)CAMEDICARE GROUP PTAN

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
05D2021021
Facility Type
Community Clinic
Certificate Effective Date
March 03, 2025
Certificate Expiration Date
March 02, 2027
Laboratory Director
BASIL C. HAMBLIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to West Marin Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WEST MARIN MEDICAL CENTER

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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 1174896799, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 7 → 14 → 5 8 → 16 → 7 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 6 + 9 + 1 + 2 + 7 + 1 + 8 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1174896799.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
11150 HIGHWAY 1
POINT REYES STATION, CA 94956
General Practice
11150 HIGHWAY 1
PT REYES STA, CA 94956
Nurse Practitioner
11150 HIGHWAY 1
POINT REYES STATION, CA 94956
Family Medicine
11150 HIGHWAY 1
POINT REYES STATION, CA 94956
Nurse Practitioner
11150 HIGHWAY 1
POINT REYES STATION, CA 94956
Physician Assistant
11150 HIGHWAY 1
POINT REYES STATION, CA 94956

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174896799, enumerated as an "organization" on February 13, 2012.

The provider is located at 11150 HIGHWAY 1 POINT REYES STATION, CA 94956 and the phone number is (415) 663-1082.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.