BAYSIDE MARIN, INC.
NPI 1417495623
Clinic/Center - Rehabilitation, Substance Use Disorder in San Rafael, CA

NPI Status: Active since February 08, 2017

Contact Information

718 4TH ST
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 450-0031

Recently Updated NPI Information
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.

Table of Contents

NPI Profile Information
Primary Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Rehabilitation, Substance Use Disorder

About BAYSIDE MARIN, INC.

This page provides the complete NPI Profile along with additional information for Bayside Marin, Inc., a provider established in San Rafael, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1417495623 assigned on February 2017. The practitioner's primary taxonomy code is 261QR0405X with license number 210030CP (CA). The provider is registered as an organization and their NPI record was last updated July 2025. The provider's . The authorized official of this NPI record is Mr. Brian Farley (Vp And Secretary)

NPI: 1417495623
Provider Legal Name: BAYSIDE MARIN, INC.
Other Organization Name
Other Name Type: (6)
Entity Type: Organization
Location Address: 718 4TH ST SAN RAFAEL, CA 94901
Location Phone: (415) 450-0031
Mailing Address: 718 4TH ST SAN RAFAEL, CA 94901
Mailing Phone: (415) 450-0031
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 02-08-2017
Last Update Date: 07-23-2025
Code Navigator

Location Map

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: Clinic/Center Rehabilitation, Substance Use Disorder
Taxonomy Code: 261QR0405X
Type: Ambulatory Health Care Facilities
License No.: 210030CP
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: MR. BRIAN FARLEY
Authorized Official Title: VP AND SECRETARY
Authorized Official Phone: (615) 861-6000

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	4	1	7	4	9	5	6	2	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	4	2	7	8	9	10	6	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 8 + 9 + 1 + 0 + 6 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3									3

The NPI number 1417495623 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.