MARIN MEDICAL GROUP, INC.
NPI 1528042330
Internal Medicine in Greenbrae, CA

Active since December 05, 2005CLIA 05D0943538 · Waiver
1341 S ELISEO DR, GREENBRAE, CA 94904(415) 464-8169(415) 464-8177 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marin Medical Group, Inc. NPPES

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

MARIN MEDICAL GROUP, INC. (NPI 1528042330) is a healthcare organization registered as an internal medicine in Greenbrae, California and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through March 29, 2028 and lists Judy Parker, Office Mgr, as its authorized official.

NPPES Registry Identity

NPI1528042330
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMARIN MEDICAL GROUP, INC.
Location Address1341 S ELISEO DRGreenbrae, CA 94904-2000
Mailing AddressPo Box 618Novato, CA 94948-0618 · (415) 493-3342 · Fax (415) 493-3301
Fax(415) 464-8177
Organization SubpartNo
Authorized OfficialJudy ParkerOffice Mgr · (415) 464-8169
Enumeration DateDecember 5, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1528042330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1341 S ELISEO DR, Greenbrae, CA 94904

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0943538

Marin Medical Group Inc · Greenbrae, CA
Active · expires Mar 29, 2028
CLIA Number05D0943538
Laboratory TypeOther
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorPaul C. Ogden
Laboratory Phone(415) 464-8169
Laboratory LocationMarin Medical Group Inc1341 S Eliseo Drive Suite 200, Greenbrae, CA 94904
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Dentist (General Practice)
1341 S ELISEO DR, SUITE 327
GREENBRAE, CA 94904
General Practice
1341 S ELISEO DR, SUITE 350
GREENBRAE, CA 94904
Dentist (General Practice)
1341 S ELISEO DR, SUITE 327
GREENBRAE, CA 94904
Internal Medicine
1341 S ELISEO DR, SUITE 200
GREENBRAE, CA 94904
Internal Medicine
1341 S ELISEO DR, SUITE 200
GREENBRAE, CA 94904
Internal Medicine
1341 S ELISEO DR
GREENBRAE, CA 94904

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 Medical Group, Inc.'s NPI number?

The NPI number for Marin Medical Group, Inc. is 1528042330. It was assigned to this organization in the NPPES registry on December 5, 2005.

Where is Marin Medical Group, Inc. located?

Marin Medical Group, Inc. is located at 1341 S Eliseo Dr, Greenbrae, CA 94904. The listed phone number is (415) 464-8169.

What is Marin Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Marin Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0943538) is associated with this NPI, valid through March 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marin Medical Group, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.