MARIN COMMUNITY CLINIC
NPI 1316760317
Clinic/Center - Federally Qualified Health Center (FQHC) in San Rafael, CA

Active since November 06, 2024
3110 KERNER BLVD, SAN RAFAEL, CA 94901(415) 448-1500 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 27, 2025, Nov 6, 2024 (2 updates tracked since 2024).

About Marin Community Clinic NPPES

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

MARIN COMMUNITY CLINIC (NPI 1316760317) is a healthcare organization registered as a federally qualified health center (fqhc) in San Rafael, California and active in the NPI registry since November 2024. The organization lists Brenda Shipp, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1316760317
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMARIN COMMUNITY CLINIC
Location Address3110 KERNER BLVDSan Rafael, CA 94901-5411
Mailing Address3110 Kerner BlvdSan Rafael, CA 94901-5411 · (415) 448-1500
Organization SubpartNo
Authorized OfficialBrenda ShippChief Executive Officer · (415) 475-4572
Enumeration DateNovember 6, 2024
Last NPPES UpdateJune 27, 20252 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
NPI 1316760317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
3110 KERNER BLVD, San Rafael, CA 94901

Other Names 1

Other NameSan Rafael Dental Mobile Van

Other Providers at the Same Location NPPES 20

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

Dentist (General Practice)
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Dental Hygienist
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Social Worker (Clinical)
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Dentist (General Practice)
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Nurse Practitioner (Family)
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Pediatrics
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Social Worker (Clinical)
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Clinic/Center (Federally Qualified Health Center (FQHC))
3110 KERNER BLVD
SAN RAFAEL, CA 94901

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 Community Clinic's NPI number?

The NPI number for Marin Community Clinic is 1316760317. It was assigned to this organization in the NPPES registry on November 6, 2024. The provider is also known as San Rafael Dental Mobile van.

Where is Marin Community Clinic located?

Marin Community Clinic is located at 3110 Kerner Blvd, San Rafael, CA 94901. The listed phone number is (415) 448-1500.

What is Marin Community Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Marin Community Clinic was last updated on June 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.