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MARIN COMMUNITY CLINIC
NPI 1780292912
Clinic/Center - Community Health in Greenbrae, CA

Active since July 14, 2020
1260 S ELISEO DR STE 201, GREENBRAE, CA 94904(415) 448-1500(415) 798-3104 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marin Community Clinic NPPES

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

MARIN COMMUNITY CLINIC (NPI 1780292912) is a healthcare organization registered as a community health in Greenbrae, California and active in the NPI registry since July 2020. The organization lists Andrea M Skelly, Revenue Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1780292912
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameMARIN COMMUNITY CLINIC
Location Address1260 S ELISEO DR STE 201Greenbrae, CA 94904-2009
Mailing AddressPo Box 5008Novato, CA 94948-5008 · (415) 798-3135 · Fax (415) 798-3104
Phone(415) 448-1500
Fax(415) 798-3104
Organization SubpartNo
Authorized OfficialAndrea M SkellyRevenue Credentialing Manager · (415) 798-3135
Enumeration DateJuly 14, 2020
NPPES CertifiedJuly 14, 2020
✔ NPI 1780292912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
1260 S ELISEO DR STE 201, Greenbrae, CA 94904
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Other Providers at the Same Location NPPES

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

SRUTHI VEERAGANDHAM
Emergency Medical Technician, Basic
1260 S ELISEO DR STE 201
GREENBRAE, CA 94904
Marin County (415) 448-1500

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 1780292912. It was assigned to this organization in the NPPES registry on July 14, 2020.

Where is Marin Community Clinic located?

Marin Community Clinic is located at 1260 S Eliseo Dr Ste 201, Greenbrae, CA 94904. The listed phone number is (415) 448-1500.

What is Marin Community Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Marin Community Clinic was last updated on July 14, 2020. 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.