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MAGNOLIA PEDIATRICS OF MARIN, INC.
NPI 1194287680
Pediatrics in Mill Valley, CA

Active since April 03, 2019CLIA 05D1075837 · Waiver
655 REDWOOD HWY FRONTAGE RD STE 216, MILL VALLEY, CA 94941(415) 380-8711 Get Directions Write a Review

NPPES record last updated: April 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Magnolia Pediatrics Of Marin, Inc. NPPES

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

MAGNOLIA PEDIATRICS OF MARIN, INC. (NPI 1194287680) is a healthcare organization registered as a pediatrics in Mill Valley, California and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through October 29, 2027 and lists Suzanne Christie, President, as its authorized official.

NPPES Registry Identity

NPI1194287680
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMAGNOLIA PEDIATRICS OF MARIN, INC.
Location Address655 REDWOOD HWY FRONTAGE RD STE 216Mill Valley, CA 94941-3055
Mailing Address655 Redwood Hwy Frontage Rd Ste 216Mill Valley, CA 94941-3055
Phone(415) 380-8711
Organization SubpartNo
Authorized OfficialSuzanne ChristiePresident · (415) 380-8700
Enumeration DateApril 3, 2019
✔ NPI 1194287680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
655 REDWOOD HWY FRONTAGE RD STE 216, Mill Valley, CA 94941
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 05D1075837

Magnolia Pediatrics Of Marin · Mill Valley, CA
Active · expires Oct 29, 2027
CLIA Number05D1075837
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2025
Certificate Expiration DateOctober 29, 2027
Laboratory DirectorAnika L. Sanda, MD
Laboratory Phone(415) 380-8700
Laboratory LocationMagnolia Pediatrics Of Marin655 Redwood Highway, Ste 216, Mill Valley, CA 94941
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 2

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

DR. RACHEL FLORENCE BAUER MD
Pediatrics
655 REDWOOD HWY FRONTAGE RD STE 216
MILL VALLEY, CA 94941
Marin County (415) 383-3500
BAYCHILDREN'S PHYSICIANS
Pediatrics
655 REDWOOD HWY FRONTAGE RD STE 216
MILL VALLEY, CA 94941
Marin County (415) 383-3500

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 Magnolia Pediatrics Of Marin, Inc.'s NPI number?

The NPI number for Magnolia Pediatrics Of Marin, Inc. is 1194287680. It was assigned to this organization in the NPPES registry on April 3, 2019.

Where is Magnolia Pediatrics Of Marin, Inc. located?

Magnolia Pediatrics Of Marin, Inc. is located at 655 Redwood Hwy Frontage Rd Ste 216, Mill Valley, CA 94941. The listed phone number is (415) 380-8711.

What is Magnolia Pediatrics Of Marin, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Magnolia Pediatrics Of Marin, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1075837) is associated with this NPI, valid through October 29, 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 Magnolia Pediatrics Of Marin, Inc. was last updated on April 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.