MEDICAL CENTER OF MARIN (BRETT V. CURTIS, MD, A PROFESSIONAL CORPORATION, INC.) NPI 1346372661

Clinic/Center (Urgent Care) in Corte Madera, CA

NPI 1346372661 Organization Clinic/Center Urgent Care CLIA Number 05D0872179 CLIA Certificate of Waiver

About MEDICAL CENTER OF MARIN (BRETT V. CURTIS, MD, A PROFESSIONAL CORPORATION, INC.)

Medical Center Of Marin (brett V. Curtis, Md, A Professional Corporation, Inc.) is a provider established in Corte Madera, California specializing in clinic/center (urgent care) . The NPI number of Medical Center Of Marin (brett V. Curtis, Md, A Professional Corporation, Inc.) is 1346372661 and was assigned on March 2007. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Medical Center Of Marin (brett V. Curtis, Md, A Professional Corporation, Inc.) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Medical Center Of Marin. The authorized official of this NPI record is Dr. Warren Leo Cipa D.c. (Cfo)

The CLIA number of Medical Center Of Marin is 05D0872179 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Medical Center Of Marin to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1346372661

Provider NameMEDICAL CENTER OF MARIN (BRETT V. CURTIS, MD, A PROFESSIONAL CORPORATION, INC.)
Provider Location Address101 CASA BUENA DR CORTE MADERA, CA 94925
Provider Mailing Address101 CASA BUENA DRIVE CORTE MADERA, CA 94925
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameMEDICAL CENTER OF MARIN
Other Name TypeDoing Business As (3)
Enumeration Date03-12-2007
Last Update Date10-30-2012


Primary Taxonomy

Taxonomy Code261QU0200X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationUrgent Care

Business Address

MEDICAL CENTER OF MARIN
101 CASA BUENA DR
CORTE MADERA, CA
ZIP 94925
Phone: (415) 924-4525
Fax: (415) 924-2539

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Mailing Address

MEDICAL CENTER OF MARIN
101 CASA BUENA DRIVE
CORTE MADERA, CA
ZIP 94925
Phone: (415) 924-4525
Fax: (415) 924-2539



Authorized Official

Authorized Official NameDR. WARREN LEO CIPA D.C.
Authorized Official TitleCFO
Authorized Official Phone(415) 924-4525

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1346372661 is:

CLIA Number05D0872179
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1111N00000XChiropractic ProvidersChiropractorNo

Taxonomy Description: a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2111NR0400XChiropractic ProvidersChiropractorRehabilitationNo

Taxonomy Description: rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.

3171100000XOther Service ProvidersAcupuncturistNo

Taxonomy Description: an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

4208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice20068CANo

Taxonomy Description: Not Available

5247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistNo

Taxonomy Description: an individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.

6261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyNo

Taxonomy Description: an entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

7261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational MedicineNo

Taxonomy Description: Not Available

8363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantNo

Taxonomy Description: a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

9363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareNo

Taxonomy Description: Not Available

10363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational HealthNo

Taxonomy Description: Not Available

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720013576DR. WARREN LEO CIPA D.C.
Individual
Chiropractor (Occupational Health)101 CASA BUENA DR
CORTE MADERA, CA 94925
(415) 924-4525
1497865836 RITA MELKONIAN MD
Individual
Obstetrics & Gynecology (Gynecology)101 CASA BUENA DR STE B
CORTE MADERA, CA 94925
(415) 924-3530
1104075019 PAUL H MCCLAIN PT
Individual
Physical Therapist (Orthopedic)101 CASA BUENA DR SUITE 101
CORTE MADERA, CA 94925
(415) 924-4525
1851610190DR. BRETT MENSH M.D., PH.D.
Individual
General Practice101 CASA BUENA DR
CORTE MADERA, CA 94925
(415) 924-4525
1679942403 ROSEMARY KIM L.AC
Individual
Acupuncturist101 CASA BUENA DR
CORTE MADERA, CA 94925
(415) 886-4952
1689605180DR. BRETT V CURTIS M.D., J.D.
Individual
Clinic/Center (Urgent Care)101 CASA BUENA DR
CORTE MADERA, CA 94925
(415) 924-4525

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.