MARIN COMMUNITY CLINIC
NPI 1720805591
Clinic/Center - Federally Qualified Health Center (FQHC) in Mill Valley, CA
About Marin Community Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIN COMMUNITY CLINIC (NPI 1720805591) is a healthcare organization registered as a federally qualified health center (fqhc) in Mill Valley, California and active in the NPI registry since September 2024. The organization lists Farhan Fadoo, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 Community Clinic's NPI number?
The NPI number for Marin Community Clinic is 1720805591. It was assigned to this organization in the NPPES registry on September 24, 2024. The provider is also known as Tamalpais High School.
Where is Marin Community Clinic located?
Marin Community Clinic is located at 700 Miller Ave, Mill Valley, CA 94941. The listed phone number is (415) 798-3133.
What is Marin Community Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
When was this NPI record last updated?
The NPPES record for Marin Community Clinic was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Marin Community Clinic · NPI 1720805591
Federally Qualified Health Center (FQHC) organization in Mill Valley, California. Organization record, active in the CMS NPPES registry since September 24, 2024.
## Identity
- **NPI:** 1720805591 (Entity type: Organization)
- **Enumerated:** September 24, 2024
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Tamalpais High School (Other Name)
- **Organization subpart:** No
- **Authorized official:** Farhan Fadoo, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 700 MILLER AVE, Mill Valley, CA 94941-2926
- **Phone:** (415) 798-3133
## Record status
- **NPPES last updated:** September 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1720805591) · Data from the CMS NPPES public registry.