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MARIN COMMUNITY CLINIC
NPI 1790788107
Clinic/Center - Federally Qualified Health Center (FQHC) in Novato, CA

Active since May 31, 2005
400 PROFESSIONAL CENTER DR, STE 424, NOVATO, CA 94947(415) 448-1531(415) 892-8732 Get Directions Write a Review

NPPES record last updated: January 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marin Community Clinic NPPES

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

MARIN COMMUNITY CLINIC (NPI 1790788107) is a healthcare organization registered as a federally qualified health center (fqhc) in Novato, California and active in the NPI registry since May 2005. The organization lists Deborah Udall, Director Of Patient Accounts, as its authorized official.

NPPES Registry Identity

NPI1790788107
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMARIN COMMUNITY CLINIC
Location Address400 PROFESSIONAL CENTER DR, STE 424Novato, CA 94947-4368
Mailing Address9 Commercial Blvd, Suite 103Novato, CA 94949 · (415) 798-3106 · Fax (415) 798-3180
Phone(415) 448-1531
Fax(415) 892-8732
Organization SubpartNo
Authorized OfficialDeborah UdallDirector Of Patient Accounts · (415) 798-3106
Enumeration DateMay 31, 2005
Last NPPES UpdateJanuary 28, 2016
✔ NPI 1790788107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · 1100491
400 PROFESSIONAL CENTER DR, Novato, CA 94947
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified551918CA · Fqhc - Novato
Other1100491CA · Dhs License- Novato
MedicaidFHC70941CA

Other Providers at the Same Location NPPES 8

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

STEPHEN LEWIS DALTON M.D.
Dermatology
400 PROFESSIONAL CENTER DR, SUITE 414
NOVATO, CA 94947
Marin County (415) 892-0754
SANDRA P. LEVY P.N.P.
Nurse Practitioner (Pediatrics)
400 PROFESSIONAL CENTER DR, SUITE 424
NOVATO, CA 94947
Marin County (415) 448-1555
DR. ERIK PAUL SCHTEN M.D.
Internal Medicine
400 PROFESSIONAL CENTER DR, SUITE 424
NOVATO, CA 94947
Marin County (415) 448-1555
FIONA ANNE MARION
Pediatrics
400 PROFESSIONAL CENTER DR
NOVATO, CA 94947
Marin County (415) 892-0965
JANET A NUNNALLY N.P.
Nurse Practitioner (Family)
400 PROFESSIONAL CENTER DR, SUITE 424
NOVATO, CA 94947
Marin County (415) 448-1555
TRACEY MICHELLE HESSEL M.D.
Pediatrics
400 PROFESSIONAL CENTER DR, SUITE 424
NOVATO, CA 94947
Marin County (415) 448-1555
MS. JESSICA CATHERINE HOLLMAN M.D.
Pediatrics
400 PROFESSIONAL CENTER DR, SUITE 424
NOVATO, CA 94947
Marin County (415) 448-1555
DR. GAIL ALTSCHULER M.D.
Family Medicine (Adult Medicine)
400 PROFESSIONAL CENTER DR, SUITE 411
NOVATO, CA 94947
Marin County (415) 897-9800

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 1790788107. It was assigned to this organization in the NPPES registry on May 31, 2005.

Where is Marin Community Clinic located?

Marin Community Clinic is located at 400 Professional Center Dr Ste 424, Novato, CA 94947. The listed phone number is (415) 448-1531.

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 January 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.