MARIN SPECIALTY SURGERY CENTER
NPI 1215930078
Clinic/Center - Ambulatory Surgical in San Rafael, CA

Active since May 24, 2005CLIA 05D1024077 · Waiver
1 THORNDALE DR., SUITE 210, SAN RAFAEL, CA 94903(415) 461-4400(415) 461-4484 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2021, Feb 7, 2019 (2 updates tracked since 2019).

About Marin Specialty Surgery Center NPPES

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

MARIN SPECIALTY SURGERY CENTER (NPI 1215930078) is a healthcare organization registered as an ambulatory surgical in San Rafael, California and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through March 31, 2028 and lists Cory Hall, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1215930078
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMARIN HEALTH VENTURES, LLC
Location Address1 THORNDALE DR., SUITE 210San Rafael, CA 94903
Mailing Address1 Thorndale Dr., Suite 210San Rafael, CA 94903 · (415) 461-4400 · Fax (415) 461-4484
Fax(415) 461-4484
Organization SubpartNo
Authorized OfficialCory HallChief Administrative Officer · (415) 461-4400
Enumeration DateMay 24, 2005
Last NPPES UpdateMarch 10, 20212 updates tracked since enumeration
NPPES CertifiedMarch 10, 2021
NPI 1215930078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in CA · 110000487
1 THORNDALE DR., San Rafael, CA 94903

Other Names 1

Doing Business AsMarin Specialty Surgery Center

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 05D1024077

Marin Health Ventures, LLC Dba Marin Specialty Surgery Center · San Rafael, CA
Active · expires Mar 31, 2028
CLIA Number05D1024077
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorRamana Naidu
Laboratory Phone(415) 461-4400
Laboratory LocationMarin Health Ventures, LLC Dba Marin Specialty Surgery Center1 Thorndale Dr Ste 210, San Rafael, CA 94903
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
3,194 services25 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
474 services313 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
199 services100 patients
Injection of substance into middle or upper spine canal using imaging guidance 62321
This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
119 services109 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
112 services68 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
93 services62 patients

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 Health Ventures, LLC's NPI number?

The NPI number for Marin Health Ventures, LLC is 1215930078. It was assigned to this organization in the NPPES registry on May 24, 2005. The provider is doing business as Marin Specialty Surgery Center.

Where is Marin Health Ventures, LLC located?

Marin Health Ventures, LLC is located at 1 Thorndale Dr. Suite 210, San Rafael, CA 94903. The listed phone number is (415) 461-4400.

What is Marin Health Ventures, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Marin Health Ventures, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1024077) is associated with this NPI, valid through March 31, 2028. 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 Health Ventures, LLC was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.