MILL VALLEY MEDICAL GROUP
NPI 1780728246
Family Medicine in San Rafael, CA

Q: What is David M Tully Smith M D A Medical Corporation's specialty?

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

Active since February 17, 2007

711 D ST, SUITE 111, SAN RAFAEL, CA 94901(415) 453-3030 Get Directions Write a Review

NPPES record last updated: November 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mill Valley Medical Group NPPES

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

MILL VALLEY MEDICAL GROUP (NPI 1780728246) is a healthcare organization registered as a family medicine in San Rafael, California and active in the NPI registry since February 2007. The organization lists Dana Tully-smith, Vice President, as its authorized official.

NPPES Registry Identity

NPI1780728246

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameDAVID M TULLY SMITH M D A MEDICAL CORPORATION

Location Address711 D ST, SUITE 111San Rafael, CA 94901-3707

Mailing AddressPo Box 3137Rohnert Park, CA 94927-3137

Phone(415) 453-3030

Organization SubpartNo

Authorized OfficialDana Tully-smithVice President · (707) 544-2632

Enumeration DateFebruary 17, 2007

Last NPPES UpdateNovember 7, 2008

✔ NPI 1780728246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · G30229

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.

711 D ST, San Rafael, CA 94901

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Other Names 1

Doing Business AsMill Valley Medical Group

Other Identifiers 1

Medicare ID-Type UnspecifiedZZZ30674ZCA · Group Number

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

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.

YEVGENIYA V GARANINA

Counselor (Mental Health)

711 D ST
SAN RAFAEL, CA 94901

Marin County (415) 515-3279

DR. ANN GOLD BUSCHO PH.D.

Psychologist

711 D ST, SUITE 207
SAN RAFAEL, CA 94901

Marin County (415) 456-0952

DR. JEFFREY I FRIEDMAN DC

Chiropractor

711 D ST, SUITE 104
SAN RAFAEL, CA 94901

Marin County (415) 459-4646

MS. LINDA SILVER LMFT

Counselor (Mental Health)

711 D ST, #201
SAN RAFAEL, CA 94901

Marin County (415) 257-8872

DR. FERNANDO ULLOA M.D.

Pediatrics (Adolescent Medicine)

711 D ST, SUITE 113
SAN RAFAEL, CA 94901

Marin County (415) 454-4100

MR. STEPHEN M GROSS M.A.

Marriage & Family Therapist

711 D ST, SUITE 201
SAN RAFAEL, CA 94901

Marin County (415) 258-0449

MR. KENNETH A TUCKER P.T.

Physical Therapist

711 D ST, #102
SAN RAFAEL, CA 94901

Marin County (415) 456-3551

MARIA LOURDES QUESADA MFT

Marriage & Family Therapist

711 D ST
SAN RAFAEL, CA 94901

Marin County (415) 517-1309

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 David M Tully Smith M D A Medical Corporation's NPI number?

The NPI number for David M Tully Smith M D A Medical Corporation is 1780728246. It was assigned to this organization in the NPPES registry on February 17, 2007. The provider is doing business as Mill Valley Medical Group.

Where is David M Tully Smith M D A Medical Corporation located?

David M Tully Smith M D A Medical Corporation is located at 711 D St Suite 111, San Rafael, CA 94901. The listed phone number is (415) 453-3030.

What is David M Tully Smith M D A Medical Corporation's specialty?

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

When was this NPI record last updated?

The NPPES record for David M Tully Smith M D A Medical Corporation was last updated on November 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.