MARIN OPHTHALMIC SURGERY CENTER
NPI 1336143148
Clinic/Center - Ambulatory Surgical in San Rafael, CA

Q: What is Marin Ophthalmic Surgery Center's NPI number?

The NPI number for Marin Ophthalmic Surgery Center is 1336143148. It was assigned to this organization in the NPPES registry on June 9, 2005.

Q: What is Marin Ophthalmic Surgery Center's specialty?

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

Active since June 09, 2005CLIA 05D0887060 · Waiver

901 E ST SUITE 270, SAN RAFAEL, CA 94901(415) 454-5565(415) 454-6542 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Marin Ophthalmic Surgery Center NPPES

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

MARIN OPHTHALMIC SURGERY CENTER (NPI 1336143148) is a healthcare organization registered as an ambulatory surgical in San Rafael, California and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through June 2, 2028 and lists Safiya Arnaout, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1336143148

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameMARIN OPHTHALMIC SURGERY CENTER

Location Address901 E ST SUITE 270San Rafael, CA 94901

Mailing Address901 E StSan Rafael, CA 94901 · (415) 454-5565 · Fax (415) 454-6542

Phone(415) 454-5565

Fax(415) 454-6542

Organization SubpartNo

Authorized OfficialSafiya ArnaoutAdministrative Director · (415) 454-5565

Enumeration DateJune 9, 2005

Last NPPES UpdateAugust 17, 2018

✔ NPI 1336143148 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 · 110000410

901 E ST SUITE 270, San Rafael, CA 94901

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Other Identifiers 1

MedicaidSUR01276FCA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marin Ophthalmic Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20110921000329Non-DME Part B · Ambulatory Surgical CenterDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

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 05D0887060

Marin Ophthalmic Surgery Center · San Rafael, CA

Active · expires Jun 2, 2028

CLIA Number05D0887060

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJune 3, 2026

Certificate Expiration DateJune 2, 2028

Laboratory DirectorJohn Shin MD

Laboratory Phone(415) 454-2112

Laboratory LocationMarin Ophthalmic Surgery Center901 E Street, Ste 270, San Rafael, CA 94901

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

389 services234 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

105 services91 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

45 services30 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 Ophthalmic Surgery Center's NPI number?

The NPI number for Marin Ophthalmic Surgery Center is 1336143148. It was assigned to this organization in the NPPES registry on June 9, 2005.

Where is Marin Ophthalmic Surgery Center located?

Marin Ophthalmic Surgery Center is located at 901 E St Suite 270, San Rafael, CA 94901. The listed phone number is (415) 454-5565.

What is Marin Ophthalmic Surgery Center's specialty?

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

Is Marin Ophthalmic Surgery Center enrolled in Medicare?

Yes. Marin Ophthalmic Surgery Center is registered in the Medicare PECOS enrollment system.

When is Marin Ophthalmic Surgery Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Ambulatory Surgical Center) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Marin Ophthalmic Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0887060) is associated with this NPI, valid through June 2, 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 Ophthalmic Surgery Center was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.