MARIN COMMUNITY CLINIC
NPI 1508514902
Clinic/Center - Federally Qualified Health Center (FQHC) in San Rafael, CA

Q: What is Marin Community Clinic's NPI number?

The NPI number for Marin Community Clinic is 1508514902. It was assigned to this organization in the NPPES registry on March 15, 2022.

Q: What is Marin Community Clinic's specialty?

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

Active since March 15, 2022

1618 2ND ST, SAN RAFAEL, CA 94901(415) 448-1500(415) 798-3104 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marin Community Clinic NPPES

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

MARIN COMMUNITY CLINIC (NPI 1508514902) is a healthcare organization registered as a federally qualified health center (fqhc) in San Rafael, California and active in the NPI registry since March 2022. The organization lists Andrea M Skelly, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1508514902

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameMARIN COMMUNITY CLINIC

Location Address1618 2ND STSan Rafael, CA 94901-2707

Mailing AddressPo Box 5008Novato, CA 94948-5008 · (415) 448-1500 · Fax (415) 798-3104

Phone(415) 448-1500

Fax(415) 798-3104

Organization SubpartNo

Authorized OfficialAndrea M SkellyBilling Manager · (415) 798-3135

Enumeration DateMarch 15, 2022

Last NPPES UpdateOctober 3, 2022

NPPES CertifiedOctober 3, 2022

✔ NPI 1508514902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

1618 2ND ST, San Rafael, CA 94901

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Group Practice 1

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. PATRICIA M. PURCELL NP

Nurse Practitioner (Family)

1618 2ND ST
SAN RAFAEL, CA 94901

Marin County (415) 448-1500

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 Community Clinic's NPI number?

The NPI number for Marin Community Clinic is 1508514902. It was assigned to this organization in the NPPES registry on March 15, 2022.

Where is Marin Community Clinic located?

Marin Community Clinic is located at 1618 2nd St, San Rafael, CA 94901. The listed phone number is (415) 448-1500.

What is Marin Community Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Marin Community Clinic was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.