MARIN PACIFIC MEDICAL GROUP
NPI 1659113173
Clinic/Center in Los Angeles, CA

Q: What is Marin Pacific Medical Group's NPI number?

The NPI number for Marin Pacific Medical Group is 1659113173. It was assigned to this organization in the NPPES registry on June 7, 2024.

Q: What is Marin Pacific Medical Group's specialty?

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

Active since June 07, 2024

1849 SAWTELLE BLVD STE 610, LOS ANGELES, CA 90025(341) 217-8411 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2025, Jun 7, 2024 (2 updates tracked since 2024).

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About Marin Pacific Medical Group NPPES

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

MARIN PACIFIC MEDICAL GROUP (NPI 1659113173) is a healthcare organization registered as a clinic/center in Los Angeles, California and active in the NPI registry since June 2024. The organization maintains a secondary practice location in Berkeley and lists Michael Jeffrey Zizmor, Physician, as its authorized official.

NPPES Registry Identity

NPI1659113173

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameMARIN PACIFIC MEDICAL GROUP

Location Address1849 SAWTELLE BLVD STE 610Los Angeles, CA 90025-7013

Mailing Address1935a Addison St Ste 200Berkeley, CA 94704-1101 · (341) 217-8411

Phone(341) 217-8411

Organization SubpartNo

Authorized OfficialMichael Jeffrey ZizmorPhysician · (341) 222-3800

Enumeration DateJune 7, 2024

Last NPPES UpdateJuly 24, 20252 updates tracked since enumeration

NPPES CertifiedJune 27, 2025

✔ NPI 1659113173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

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).

Also ListedPsychologistTaxonomy 103T00000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

1849 SAWTELLE BLVD STE 610, Los Angeles, CA 90025

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Secondary Practice Location 1

Location 11935A Addison St Ste 200Berkeley, CA 94704-1101 · Phone (341) 217-8411

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

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Other Providers at the Same Location NPPES 20

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

MINKYUNG SO

Marriage & Family Therapist