MARIN CITY HEALTH AND WELLNESS CENTER
NPI 1457888299
Clinic/Center - Federally Qualified Health Center (FQHC) in San Rafael, CA

Active since May 11, 2017
880 LAS GALLINAS AVE, SUITE 2, SAN RAFAEL, CA 94903(415) 339-8813 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2018, May 11, 2017 (2 updates tracked since 2017).

About Marin City Health And Wellness Center NPPES

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

MARIN CITY HEALTH AND WELLNESS CENTER (NPI 1457888299) is a healthcare organization registered as a federally qualified health center (fqhc) in San Rafael, California and active in the NPI registry since May 2017. The organization lists Jayvon Muhammad, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1457888299
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMARIN CITY HEALTH AND WELLNESS CENTER
Location Address880 LAS GALLINAS AVE, SUITE 2San Rafael, CA 94903
Mailing Address630 Drake AveSausalito, CA 94965-1107 · (415) 339-8813
Organization SubpartNo
Authorized OfficialJayvon MuhammadChief Executive Officer · (415) 339-8813
Enumeration DateMay 11, 2017
Last NPPES UpdateJuly 11, 20182 updates tracked since enumeration
✔ NPI 1457888299 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
License✔ Licensed in CA · 55000861
880 LAS GALLINAS AVE, San Rafael, CA 94903

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marin City Health And Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

24

Medicare enrollment records show 24 clinicians reassign Medicare billing to Marin City Health And Wellness Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner8
Clinical Psychologist4
Family Practice4
Clinical Social Worker2
Marriage and Family Therapist2
Certified Nurse Midwife (CNM)1
Internal Medicine1
Pediatric Medicine1
1 other specialty1

Nearest to this location (20)

See all 24
Certified Nurse Midwife (CNM)
NPI 1134209927
880 LAS GALLINAS AVE STE 2
San Rafael, CA 94903
(415) 339-8813
✔ PECOSSame address
Clinical Psychologist
NPI 1740539832
630 DRAKE AVE
Sausalito, CA 94965
(415) 680-8256
✔ PECOS✔ Accepts Medicare9.5 mi
Nurse Practitioner
NPI 1629627120
100 PHILLIPS DR
Sausalito, CA 94965
(415) 339-8813
✔ PECOS✔ Accepts Medicare9.5 mi
Clinical Social Worker
NPI 1508269812
100 PHILLIPS DR
Sausalito, CA 94965
(415) 339-8813
✔ PECOS9.5 mi
Marriage and Family Therapist
NPI 1477093672
100 PHILLIPS DR
Sausalito, CA 94965
(415) 339-8813
✔ PECOS✔ Accepts Medicare9.5 mi
Clinical Psychologist
NPI 1407123904
100 PHILLIPS DR
Sausalito, CA 94965
(415) 339-8813
✔ PECOS✔ Accepts Medicare9.5 mi
Nurse Practitioner
NPI 1851896336
100 PHILLIPS DR
Sausalito, CA 94965
(415) 339-8813
✔ PECOS✔ Accepts Medicare9.5 mi
Clinical Psychologist
NPI 1750834313
100 PHILLIPS DR
Sausalito, CA 94965
(415) 339-8813
✔ PECOS9.5 mi
Clinical Social Worker
NPI 1831853746
100 PHILLIPS DR
Sausalito, CA 94965
(415) 339-8813
✔ PECOS✔ Accepts Medicare9.5 mi
Marriage and Family Therapist
NPI 1740530815
100 PHILLIPS DR
Sausalito, CA 94965
(415) 339-8813
✔ PECOS9.5 mi
Pediatric Medicine
NPI 1457325797
3838 CALIFORNIA ST
San Francisco, CA 94118
(415) 600-5400
✔ PECOS16 mi
Nurse Practitioner
NPI 1811454531
6121 HOLLIS ST STE 800
Emeryville, CA 94608
(510) 893-1700
✔ PECOS✔ Accepts Medicare18 mi
Podiatry
NPI 1871721043
5709 MARKET ST STE I
Oakland, CA 94608
(415) 902-2134
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1548840101
1001 POTRERO AVE BLDG 80
San Francisco, CA 94110
(628) 206-5252
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1760217798
2121 HARRISON ST STE 120
Oakland, CA 94612
(510) 587-3000
✔ PECOS21 mi
Nurse Practitioner
NPI 1295578359
6301 3RD ST
San Francisco, CA 94124
(415) 339-8813
✔ PECOS21 mi
Nurse Practitioner
NPI 1730522475
6301 3RD ST
San Francisco, CA 94124
(415) 339-8813
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1801186648
3569 ROUND BARN CIR STE 200
Santa Rosa, CA 95403
(707) 303-3600
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1093989402
795 EL CAMINO REAL
Palo Alto, CA 94301
(650) 321-4121
✔ PECOS✔ Accepts Medicare45 mi
Nurse Practitioner
NPI 1326642034
300 PASTEUR DR
Stanford, CA 94305
(650) 723-4000
✔ PECOS✔ Accepts Medicare45 mi
See all 24 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 City Health And Wellness Center's NPI number?

The NPI number for Marin City Health And Wellness Center is 1457888299. It was assigned to this organization in the NPPES registry on May 11, 2017.

Where is Marin City Health And Wellness Center located?

Marin City Health And Wellness Center is located at 880 Las Gallinas Ave Suite 2, San Rafael, CA 94903. The listed phone number is (415) 339-8813.

What is Marin City Health And Wellness Center's specialty?

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

Is Marin City Health And Wellness Center enrolled in Medicare?

Yes. Marin City Health And Wellness Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marin City Health And Wellness Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 9 Medicare specialties reassign their Medicare billing to Marin City Health And Wellness Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (8), Clinical Psychologist (4) and Family Practice (4). Of these, 1 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Marin City Health And Wellness Center was last updated on July 11, 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.