1. Home
  2. Directory
  3. California
  4. San Rafael
  5. Clinic Center
  6. NPI Profile

MARIN CITY HEALTH AND WELLNESS CENTER
NPI 1962845131
Clinic/Center - Federally Qualified Health Center (FQHC) in San Rafael, CA

Active since April 08, 2013
1601 2ND ST, SUITE 108, SAN RAFAEL, CA 94901(415) 339-8813(415) 339-8814 Get Directions Write a Review

NPPES record last updated: March 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marin City Health And Wellness Center NPPES

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

MARIN CITY HEALTH AND WELLNESS CENTER (NPI 1962845131) is a healthcare organization registered as a federally qualified health center (fqhc) in San Rafael, California and active in the NPI registry since April 2013. The organization lists Muhammad Jayvon, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1962845131
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMARIN CITY HEALTH AND WELLNESS CENTER
Location Address1601 2ND ST, SUITE 108San Rafael, CA 94901-2712
Mailing Address630 Drake AveSausalito, CA 94965-1107 · (415) 339-8813 · Fax (415) 339-8814
Phone(415) 339-8813
Fax(415) 339-8814
Organization SubpartNo
Authorized OfficialMuhammad JayvonExecutive Director · (415) 339-8813
Enumeration DateApril 8, 2013
Last NPPES UpdateMarch 4, 2016
✔ NPI 1962845131 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 · 550000861
1601 2ND ST, San Rafael, CA 94901
Open in Google Maps ↗

Other Identifiers 2

Medicare OSCAR/certification751162CA
Medicare OSCAR/certification551117CA

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.

SAMANTHA MAXWELL BA
Counselor (Addiction (Substance Use Disorder))
1601 2ND ST
SAN RAFAEL, CA 94901
Marin County (415) 456-6655
ANDREW YU-SHIN SHU
Social Worker
1601 2ND ST
SAN RAFAEL, CA 94901
Marin County (415) 456-6655
BECKY DAVIS
Counselor (Addiction (Substance Use Disorder))
1601 2ND ST
SAN RAFAEL, CA 94901
Marin County (408) 606-0681
ENNIS SCOTT SAMUEL JOHNSON
Counselor (Addiction (Substance Use Disorder))
1601 2ND ST
SAN RAFAEL, CA 94901
Marin County (415) 526-7810
RAMIN BEHRAVAN
Counselor (Addiction (Substance Use Disorder))
1601 2ND ST, #104
SAN RAFAEL, CA 94901
Marin County (415) 446-1923
MRS. MICHELLE ANNE PURDY CADAC
Counselor (Addiction (Substance Use Disorder))
1601 2ND ST
SAN RAFAEL, CA 94901
Marin County (415) 456-6655
CENTER POINT, INC.
Clinic/Center (Community Health)
1601 2ND ST
SAN RAFAEL, CA 94901
Marin County (415) 456-6655
NATHAN JOSEPH FLEMING LVN
Licensed Vocational Nurse
1601 2ND ST
SAN RAFAEL, CA 94901
Marin County (415) 492-4444

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 City Health And Wellness Center's NPI number?

The NPI number for Marin City Health And Wellness Center is 1962845131. It was assigned to this organization in the NPPES registry on April 8, 2013.

Where is Marin City Health And Wellness Center located?

Marin City Health And Wellness Center is located at 1601 2nd St Suite 108, San Rafael, CA 94901. The listed phone number is (415) 339-8813.

What is Marin City Health And Wellness Center'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 City Health And Wellness Center was last updated on March 4, 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.