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NORTH BAY PRIVATE MEDICINE, INC.
NPI 1639838576
Family Medicine in Mill Valley, CA

Active since December 08, 2021CLIA 05D2262058 · Waiver
655 REDWOOD HWY FRONTAGE RD STE 160, MILL VALLEY, CA 94941(415) 500-6220(415) 500-6240 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2022, Dec 8, 2021 (2 updates tracked since 2021).

About North Bay Private Medicine, Inc. NPPES

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

NORTH BAY PRIVATE MEDICINE, INC. (NPI 1639838576) is a healthcare organization registered as a family medicine in Mill Valley, California and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through June 7, 2028 and lists Rebekah A Lewis, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1639838576
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTH BAY PRIVATE MEDICINE, INC.
Location Address655 REDWOOD HWY FRONTAGE RD STE 160Mill Valley, CA 94941-3068
Mailing Address655 Redwood Hwy Frontage Rd Ste 160Mill Valley, CA 94941-3068 · (415) 500-6220 · Fax (415) 500-6240
Phone(415) 500-6220
Fax(415) 500-6240
Organization SubpartNo
Authorized OfficialRebekah A LewisPhysician Owner · (415) 500-6220
Enumeration DateDecember 8, 2021
Last NPPES UpdateJanuary 31, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2022
✔ NPI 1639838576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
655 REDWOOD HWY FRONTAGE RD STE 160, Mill Valley, CA 94941
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 05D2262058

North Bay Private Medicine Inc · Mill Valley, CA
Active · expires Jun 7, 2028
CLIA Number05D2262058
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorRebekah A. Lewis
Laboratory Phone(415) 500-6220
Laboratory LocationNorth Bay Private Medicine Inc655 Redwood Hwy Frontage Rd, Ste 160, Mill Valley, CA 94941
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

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

MRS. KAREN ISENBERG CMT
Massage Therapist
655 REDWOOD HWY FRONTAGE RD STE 160
MILL VALLEY, CA 94941
Marin County (415) 572-7086

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 North Bay Private Medicine, Inc.'s NPI number?

The NPI number for North Bay Private Medicine, Inc. is 1639838576. It was assigned to this organization in the NPPES registry on December 8, 2021.

Where is North Bay Private Medicine, Inc. located?

North Bay Private Medicine, Inc. is located at 655 Redwood Hwy Frontage Rd Ste 160, Mill Valley, CA 94941. The listed phone number is (415) 500-6220.

What is North Bay Private Medicine, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does North Bay Private Medicine, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2262058) is associated with this NPI, valid through June 7, 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 North Bay Private Medicine, Inc. was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.