MARIN COMMUNITY CLINIC
NPI 1124021738
Clinic/Center - Federally Qualified Health Center (FQHC) in Greenbrae, CA
NPI Status: Active since May 27, 2005
Contact Information
250 BON AIR RD
GREENBRAE, CA
ZIP 94904
Phone: (415) 448-1500
Fax: (415) 461-4229
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
About MARIN COMMUNITY CLINIC
This page provides the complete NPI Profile along with additional information for Marin Community Clinic, a primary care provider established in Greenbrae, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1124021738 assigned on May 2005. The practitioner's primary taxonomy code is 261QF0400X with license number 1100366 (CA). The provider is registered as an organization and their NPI record was last updated June 2025. The authorized official of this NPI record is Brenda Shipp (Chief Executive Officer)
- NPI
- 1124021738
- Provider Name
- MARIN COMMUNITY CLINIC
- Entity Type
- Organization
- Location Address
- 250 BON AIR RD GREENBRAE, CA 94904
- Location Phone
- (415) 448-1500
- Location Fax
- (415) 461-4229
- Mailing Address
- 300 PROFESSIONAL CENTER DR STE 311 NOVATO, CA 94947
- Mailing Phone
- (415) 448-1531
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-27-2005
- Last Update Date
- 06-27-2025
- Code Navigator
A primary care provider (PCP) like Marin Community Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
- License No.
- 1100366
- License State
- CA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1100366 | OTHER (01) | CA | DHS LICENSE - GREENBRAE |
| FHC11975 | MEDICAID (05) | CA |
Reviews for MARIN COMMUNITY CLINIC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 0 | 2 | 1 | 7 | 3 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 0 | 2 | 2 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 0 + 2 + 2 + 7 + 6 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1124021738 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1780677963 | MS. JANET PATRICIA MILLER-MELKA RNFA Individual | Nurse Practitioner | 250 BON AIR RD GREENBRAE, CA 94904 (415) 925-7525 |
| 1144267097 | DENNIS STEVEN ORWIG M.D. Individual | Radiology (Diagnostic Radiology) | 250 BON AIR RD GREENBRAE, CA 94904 (415) 925-7301 |
| 1245271634 | BRIAN JOHN SALMEN M.D. Individual | Radiology (Diagnostic Radiology) | 250 BON AIR RD GREENBRAE, CA 94904 (415) 925-7301 |
| 1386686525 | CHAD JAMES GOODMAN M.D. Individual | Radiology (Diagnostic Radiology) | 250 BON AIR RD GREENBRAE, CA 94904 (415) 925-7301 |
| 1427091016 | WILLIAM JAMES DEMARTINI M.D. Individual | Radiology (Diagnostic Radiology) | 250 BON AIR RD GREENBRAE, CA 94904 (415) 925-7301 |
| 1720016637 | T LEROY BENSON M.D. Individual | Anesthesiology | 250 BON AIR RD GREENBRAE, CA 94904 (415) 454-2218 |
| 1235163569 | DR. MICHAEL L. NEJAD M.D. Individual | Internal Medicine | 250 BON AIR RD 3RD FLOOR GREENBRAE, CA 94904 (415) 925-7545 |
| 1063430106 | DR. KERRY LYNN DAVIDSON M.D. Individual | Internal Medicine | 250 BON AIR RD 3RD FLOOR GREENBRAE, CA 94904 (415) 925-7545 |
| 1164440848 | TAMI LEE GASH-KIM M.D Individual | Emergency Medicine | 250 BON AIR RD GREENBRAE, CA 94904 (415) 925-7000 |
| 1033137831 | ARTHUR C COHN M.D. Individual | Emergency Medicine | 250 BON AIR RD GREENBRAE, CA 94904 (415) 925-7000 |
| 1124047451 | DR. JANEEN SMITH M.D. Individual | Internal Medicine | 250 BON AIR RD 3RD FLOOR GREENBRAE, CA 94904 (415) 925-7545 |
| 1881612455 | CARL R SPITZER M.D. Individual | Emergency Medicine | 250 BON AIR RD GREENBRAE, CA 94904 (415) 925-7000 |
| 1992725451 | DR. SHANNON MONG PSY.D. Individual | Psychologist (Clinical) | 250 BON AIR RD GREENBRAE, CA 94904 (415) 499-3240 |
| 1912929290 | ROBERT M RINER M.D. Individual | Emergency Medicine | 250 BON AIR RD GREENBRAE, CA 94904 (415) 925-7000 |
| 1548282825 | ALAN J SPAIN M.D. Individual | Emergency Medicine | 250 BON AIR RD GREENBRAE, CA 94904 (415) 925-7000 |
| 1063434348 | JEFFREY D WEITZMAN Individual | Emergency Medicine | 250 BON AIR RD GREENBRAE, CA 94904 (415) 925-7000 |
| 1598787871 | JOHN J ZECHERLE M.D. Individual | Emergency Medicine | 250 BON AIR RD GREENBRAE, CA 94904 (415) 925-7000 |
| 1861414203 | DAVID S DUFFY M.D. Individual | Emergency Medicine | 250 BON AIR RD GREENBRAE, CA 94904 (415) 925-7000 |
| 1487677928 | DR. CAROL GASTON KERR PH.D. Individual | Psychologist (Clinical) | 250 BON AIR RD MARIN CMHS GREENBRAE, CA 94904 (415) 499-3255 |
| 1477577856 | DR. DIANE LYNNE SLAGER PSY.D. Individual | Psychologist (Clinical) | 250 BON AIR RD GREENBRAE, CA 94904 (415) 499-6797 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124021738, enumerated in the NPI registry as an "organization" on May 27, 2005
The provider is located at 250 Bon Air Rd Greenbrae, Ca 94904 and the phone number is (415) 448-1500
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 27, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.