1. Home
  2. Directory
  3. California
  4. Novato
  5. Clinic Center
  6. NPI Profile

MARIN ADVANCED WOUND CENTER PC
NPI 1538652003
Clinic/Center in Novato, CA

Active since June 10, 2018
165 ROWLAND WAY STE 208, NOVATO, CA 94945(415) 680-0871(800) 808-1779 Get Directions Write a Review

NPPES record last updated: December 17, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marin Advanced Wound Center Pc NPPES

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

MARIN ADVANCED WOUND CENTER PC (NPI 1538652003) is a healthcare organization registered as a clinic/center in Novato, California and active in the NPI registry since June 2018. The organization lists Alexander Reyzelman, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1538652003
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMARIN ADVANCED WOUND CENTER PC
Location Address165 ROWLAND WAY STE 208Novato, CA 94945-5055
Mailing Address165 Rowland Way Ste 208Novato, CA 94945-5055 · (415) 680-0871 · Fax (800) 808-1779
Phone(415) 680-0871
Fax(800) 808-1779
Organization SubpartNo
Authorized OfficialAlexander ReyzelmanAuthorized Official · (925) 336-6062
Enumeration DateJune 10, 2018
Last NPPES UpdateDecember 17, 2019
✔ NPI 1538652003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · G59522
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
165 ROWLAND WAY STE 208, Novato, CA 94945
Open in Google Maps ↗

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 Advanced Wound Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Marin Advanced Wound Center PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Anthony Gordon, MD
Diagnostic Radiology
NPI 1912968041
165 ROWLAND WAY STE 208
Novato, CA 94945
(415) 429-4225
✔ PECOS✔ Accepts MedicareSame address
Mher Vartivarian, D.P.M.
Podiatry
NPI 1801117874
2299 POST ST SUITE 205
San Francisco, CA 94115
(415) 292-0638
✔ PECOS✔ Accepts Medicare23 mi
Alexander Reyzelman, DPM
Podiatry
NPI 1023192721
2299 POST ST STE 205
San Francisco, CA 94115
(415) 292-0638
✔ PECOS✔ Accepts Medicare23 mi

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 Advanced Wound Center PC's NPI number?

The NPI number for Marin Advanced Wound Center PC is 1538652003. It was assigned to this organization in the NPPES registry on June 10, 2018.

Where is Marin Advanced Wound Center PC located?

Marin Advanced Wound Center PC is located at 165 Rowland Way Ste 208, Novato, CA 94945. The listed phone number is (415) 680-0871.

What is Marin Advanced Wound Center PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Marin Advanced Wound Center PC enrolled in Medicare?

Yes. Marin Advanced Wound Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marin Advanced Wound Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Marin Advanced Wound Center PC, in Diagnostic Radiology and Podiatry. 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 Marin Advanced Wound Center PC was last updated on December 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.