MARIN COUNTY IMMUNIZATION CLINIC
NPI 1366688434
Public Health or Welfare in San Rafael, CA

Active since December 19, 2008
899 NORTHGATE DR, SUITE 100, SAN RAFAEL, CA 94903(415) 473-6891(415) 473-6881 Get Directions Write a Review

NPPES record last updated: December 19, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Public Health or Welfare

About MARIN COUNTY IMMUNIZATION CLINIC

This page provides the complete NPI Profile along with additional information for Marin County Immunization Clinic, a provider established in San Rafael, California operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1366688434 assigned on December 2008. The practitioner's primary taxonomy code is 251K00000X with license number RN 270575 (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Marin County Immunization Clinic. The authorized official of this NPI record is Ms. Christine D Stipp R.n.-phn (Supervising Public Health Nurse)

NPI
1366688434 Verify this NPI
Provider Legal Name
MARIN COUNTY HEALTH AND HUMAN SERVICES
Other Organization Name
MARIN COUNTY IMMUNIZATION CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
899 NORTHGATE DR SUITE 100 SAN RAFAEL, CA 94903
Location Phone
(415) 473-6891
Location Fax
(415) 473-6881
Mailing Address
899 NORTHGATE DR SUITE 100 SAN RAFAEL, CA 94903
Mailing Phone
(415) 473-6891
Mailing Fax
(415) 473-6881
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-19-2008
Last Update Date
12-19-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Public Health or Welfare

Taxonomy Code
251K00000X
Type
Agencies
License No.
RN 270575
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. CHRISTINE D STIPP R.N.-PHN

Authorized Official Title
SUPERVISING PUBLIC HEALTH NURSE
Authorized Official Phone
(415) 473-6891

Reviews for MARIN COUNTY IMMUNIZATION CLINIC

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Registered Nurse (Case Management)
899 NORTHGATE DR, SUITE 100
SAN RAFAEL, CA 94903
Registered Nurse (Case Management)
899 NORTHGATE DR, SUITE 100
SAN RAFAEL, CA 94903
Registered Nurse (Community Health)
899 NORTHGATE DR, SUITE 100
SAN RAFAEL, CA 94903
Registered Nurse (Community Health)
899 NORTHGATE DR, 104
SAN RAFAEL, CA 94903
Registered Nurse
899 NORTHGATE DR, SUITE 100
SAN RAFAEL, CA 94903

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366688434, enumerated as an "organization" on December 19, 2008.

The provider is located at 899 NORTHGATE DR SUITE 100 SAN RAFAEL, CA 94903 and the phone number is (415) 473-6891.

Public Health or Welfare with taxonomy code 251K00000X.