MARIN CITY HEALTH AND WELLNESS CENTER - NPI 1285804948

Q: What is Marin City Health And Wellness Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

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About Marin City Health And Wellness Center NPPES

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

MARIN CITY HEALTH AND WELLNESS CENTER (NPI 1285804948) is a healthcare organization registered as a federally qualified health center (fqhc) in Sausalito, California and active in the NPI registry since March 2008. The organization holds a CLIA Microscopy certificate valid through July 20, 2027, maintains 2 additional practice locations, and lists Adam Crawford Francis, Cmo, as its authorized official.

NPPES Registry Identity

NPI1285804948

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameMARIN CITY HEALTH AND WELLNESS CENTER

Location Address630 DRAKE AVESausalito, CA 94965-1107

Mailing Address630 Drake AvenueSausalito, CA 94965-1107 · (415) 339-8813 · Fax (415) 339-8814

Phone(415) 339-8813

Fax(415) 339-8814

Organization SubpartNo

Authorized OfficialAdam Crawford FrancisCmo · (415) 339-8813

Enumeration DateMarch 8, 2008

Last NPPES UpdateOctober 15, 20212 updates tracked since enumeration

NPPES CertifiedOctober 15, 2021

✔ NPI 1285804948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

630 DRAKE AVE, Sausalito, CA 94965

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Other Names 2

Doing Business AsMarin City Health And Wellness Center

Doing Business AsPerinatal And Women's Health Suite

Secondary Practice Locations 2

Location 16301 3rd StSan Francisco, CA 94124-3501 · Phone (415) 339-8813

Location 2880 Las Gallinas Ave Ste 2San Rafael, CA 94903-3437 · Phone (415) 339-8813

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 for Provider-Performed Microscopy Procedures (PPMP) 05D1102535

Marin City Health And Wellness Center · Sausalito, CA

Active · expires Jul 20, 2027

CLIA Number05D1102535

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateJuly 21, 2025

Certificate Expiration DateJuly 20, 2027

Laboratory DirectorDedriana Lomax

Laboratory Phone(415) 720-1168

Laboratory LocationMarin City Health And Wellness Center100 Phillips Dr, Sausalito, CA 94965

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 15

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

DR. DEBRA JEAN ARAUJO DDS

Dentist (General Practice)