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BAYSIDE MARIN, INC.
NPI 1801041074
Substance Abuse Rehabilitation Facility in San Rafael, CA

Active since December 01, 2008
718 4TH ST, SAN RAFAEL, CA 94901(800) 757-7131(415) 454-3535 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 30, 2025, Feb 14, 2023 (2 updates tracked since 2023).

About Bayside Marin, Inc. NPPES

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

BAYSIDE MARIN, INC. (NPI 1801041074), doing business as Bayside Marin, is a healthcare organization registered as a substance abuse rehabilitation facility in San Rafael, California and active in the NPI registry since December 2008. The organization lists Brian Farley, Vice President And Secretary, as its authorized official.

NPPES Registry Identity

NPI1801041074
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameBAYSIDE MARIN, INC.
Location Address718 4TH STSan Rafael, CA 94901-3213
Mailing Address4020 Aspen Grove Dr Ste 900Franklin, TN 37067-3134 · (615) 861-6000
Phone(800) 757-7131
Fax(415) 454-3535
Organization SubpartNo
Authorized OfficialBrian FarleyVice President And Secretary · (615) 861-6000
Enumeration DateDecember 1, 2008
Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1801041074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CA · 210021CP
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
718 4TH ST, San Rafael, CA 94901
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Other Names 1

Doing Business AsBayside Marin

Other Providers at the Same Location NPPES 7

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

BAYSIDE MARIN, INC.
Clinic/Center (Adult Mental Health)
718 4TH ST
SAN RAFAEL, CA 94901
Marin County (800) 757-7131
SVETLANA KIPNIS
Nurse Practitioner
718 4TH ST
SAN RAFAEL, CA 94901
Marin County (415) 532-1127
HANAN KASHKOUL
Physician Assistant
718 4TH ST
SAN RAFAEL, CA 94901
Marin County (415) 532-1127
BAYSIDE MARIN, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
718 4TH ST
SAN RAFAEL, CA 94901
Marin County (415) 450-0031
AMANDA ADAMS FNP-C
Nurse Practitioner
718 4TH ST
SAN RAFAEL, CA 94901
Marin County (415) 450-5303
JACQUELINE LEIGH BURNS
Marriage & Family Therapist
718 4TH ST
SAN RAFAEL, CA 94901
Marin County (415) 450-9255
DR. ALESSIA BHARGAVA M.D.
Psychiatry & Neurology (Psychiatry)
718 4TH ST
SAN RAFAEL, CA 94901
Marin County (415) 532-1127

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 Bayside Marin, Inc.'s NPI number?

The NPI number for Bayside Marin, Inc. is 1801041074. It was assigned to this organization in the NPPES registry on December 1, 2008. The provider is doing business as Bayside Marin.

Where is Bayside Marin, Inc. located?

Bayside Marin, Inc. is located at 718 4th St, San Rafael, CA 94901. The listed phone number is (800) 757-7131.

What is Bayside Marin, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Bayside Marin, Inc. was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.