MARIN COMMUNITY CLINIC
NPI 1922303437
Clinic/Center - Federally Qualified Health Center (FQHC) in San Rafael, CA
About Marin Community Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIN COMMUNITY CLINIC (NPI 1922303437), doing business as Marin Community Clinics, is a healthcare organization registered as a federally qualified health center (fqhc) in San Rafael, California and active in the NPI registry since January 2011. The organization maintains a secondary practice location in San Rafael and lists Brenda Shipp, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marin Community Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Marin Community Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 8
Clinicians, nearest first (17)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1922303437. It was assigned to this organization in the NPPES registry on January 13, 2011. The provider is doing business as Marin Community Clinics.
Where is Marin Community Clinic located?
Marin Community Clinic is located at 3260 Kerner Blvd, San Rafael, CA 94901. 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 Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Marin Community Clinic enrolled in Medicare?
Yes. Marin Community Clinic is registered in the Medicare PECOS enrollment system.
When is Marin Community Clinic's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Federally Qualified Health Center (FQHC)) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Marin Community Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 8 Medicare specialties reassign their Medicare billing to Marin Community Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (5), Nurse Practitioner (4) and Family Practice (3). Of these, 2 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Marin Community Clinic was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Marin Community Clinic · NPI 1922303437
Federally Qualified Health Center (FQHC) organization in San Rafael, California. Organization record, active in the CMS NPPES registry since January 13, 2011.
## Identity
- **NPI:** 1922303437 (Entity type: Organization)
- **Enumerated:** January 13, 2011
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Marin Community Clinics (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Brenda Shipp, CEO
## Practice location
- **Address:** 3260 KERNER BLVD, San Rafael, CA 94901-4840
- **Phone:** (415) 448-1500 · **Fax:** (415) 798-3180
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Part A, California, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 17 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (5), Nurse Practitioner (4), Family Practice (3); 2 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1922303437) · Data from the CMS NPPES public registry.