PREVENTIVE MEDICAL CENTER OF MARIN INC
NPI 1912067828
Clinic/Center - Primary Care in San Rafael, CA

Q: What is Preventive Medical Center Of Marin Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since December 11, 2006

4340 REDWOOD HWY STE AA, SAN RAFAEL, CA 94903(415) 472-2343(415) 472-7636 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Preventive Medical Center Of Marin Inc NPPES

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

PREVENTIVE MEDICAL CENTER OF MARIN INC (NPI 1912067828) is a healthcare organization registered as a primary care in San Rafael, California and active in the NPI registry since December 2006. The organization lists Elson M Haas, Owner Medical Director, as its authorized official.

NPPES Registry Identity

NPI1912067828

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NamePREVENTIVE MEDICAL CENTER OF MARIN INC

Location Address4340 REDWOOD HWY STE AASan Rafael, CA 94903-2121

Mailing Address4340 Redwood Hwy Ste A-22San Rafael, CA 94903-2121 · (415) 472-2343 · Fax (415) 472-7636

Phone(415) 472-2343

Fax(415) 472-7636

Organization SubpartNo

Authorized OfficialElson M HaasOwner Medical Director · (415) 472-2343

Enumeration DateDecember 11, 2006

Last NPPES UpdateSeptember 29, 2023

NPPES CertifiedSeptember 29, 2023

✔ NPI 1912067828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

4340 REDWOOD HWY STE AA, San Rafael, CA 94903

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Other Identifiers 1

Other222384942Blue Shield

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 Preventive Medical Center Of Marin Inc's NPI number?

The NPI number for Preventive Medical Center Of Marin Inc is 1912067828. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is Preventive Medical Center Of Marin Inc located?

Preventive Medical Center Of Marin Inc is located at 4340 Redwood Hwy Ste Aa, San Rafael, CA 94903. The listed phone number is (415) 472-2343.

What is Preventive Medical Center Of Marin Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Preventive Medical Center Of Marin Inc was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.