DR DEAN ORNISH LIFESTYLE MEDICINE PC
NPI 1508571639
Clinic/Center - Rehabilitation, Cardiac Facilities in Sausalito, CA

Active since January 23, 2023
900 BRIDGEWAY STE 1, SAUSALITO, CA 94965(415) 332-2525(415) 332-2588 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 5, 2023, Jan 23, 2023 (2 updates tracked since 2023).

About Dr Dean Ornish Lifestyle Medicine Pc NPPES

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

DR DEAN ORNISH LIFESTYLE MEDICINE PC (NPI 1508571639) is a healthcare organization registered as a rehabilitation, cardiac facilities in Sausalito, California and active in the NPI registry since January 2023. The organization lists Dean Ornish, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508571639
Entity TypeOrganization
Primary Taxonomy261QR0404X
Legal Business NameDR DEAN ORNISH LIFESTYLE MEDICINE PC
Location Address900 BRIDGEWAY STE 1Sausalito, CA 94965-2100
Mailing Address900 Bridgeway Ste 1Sausalito, CA 94965-2100 · (415) 332-2525 · Fax (415) 332-2588
Fax(415) 332-2588
Organization SubpartNo
Authorized OfficialDean OrnishCeo · (415) 332-2525
Enumeration DateJanuary 23, 2023
Last NPPES UpdateDecember 5, 20232 updates tracked since enumeration
NPPES CertifiedDecember 5, 2023
✔ NPI 1508571639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Cardiac FacilitiesAmbulatory Health Care Facilities
Taxonomy Code261QR0404X
900 BRIDGEWAY STE 1, Sausalito, CA 94965

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr Dean Ornish Lifestyle Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dr Dean Ornish Lifestyle Medicine PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1245350479
900 BRIDGEWAY SUITE 1
Sausalito, CA 94965
(415) 332-2525
✔ PECOSSame address
Emergency Medicine
NPI 1598108557
5745 SW 75TH ST UNIT 361
Gainesville, FL 32608
(800) 792-5972
✔ PECOS✔ Accepts Medicare2,357 mi

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session G0423
Intensive cardiac rehabilitation (ICR) is a program designed to improve heart health, especially after a cardiac event. It may include continuous ECG monitoring to track heart activity. Each session, even without exercise, focuses on lifestyle changes, diet, and stress management.
4,886 services121 patients
Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session G0422
Intensive cardiac rehabilitation is a program designed to improve heart health after a cardiac event. It may involve monitored exercise sessions, where your heart rate is tracked via ECG to ensure safety. Each session is tailored to your needs and abilities.
1,666 services121 patients

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 Dr Dean Ornish Lifestyle Medicine PC's NPI number?

The NPI number for Dr Dean Ornish Lifestyle Medicine PC is 1508571639. It was assigned to this organization in the NPPES registry on January 23, 2023.

Where is Dr Dean Ornish Lifestyle Medicine PC located?

Dr Dean Ornish Lifestyle Medicine PC is located at 900 Bridgeway Ste 1, Sausalito, CA 94965. The listed phone number is (415) 332-2525.

What is Dr Dean Ornish Lifestyle Medicine PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Cardiac Facilities, with taxonomy code 261QR0404X.

Is Dr Dean Ornish Lifestyle Medicine PC enrolled in Medicare?

Yes. Dr Dean Ornish Lifestyle Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr Dean Ornish Lifestyle Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Dr Dean Ornish Lifestyle Medicine PC, in Emergency Medicine and Internal Medicine. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr Dean Ornish Lifestyle Medicine PC was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.