MARIN MEDICAL GROUP, INC.
NPI 1528042330
Internal Medicine in Greenbrae, CA

NPI Status: Active since December 05, 2005

Contact Information

1341 S ELISEO DR
GREENBRAE, CA
ZIP 94904
Phone: (415) 464-8169
Fax: (415) 464-8177

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  • Organization
  • Internal Medicine
  • CLIA Number: 05D0943538
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 03-29-2026

About MARIN MEDICAL GROUP, INC.

This page provides the complete NPI Profile along with additional information for Marin Medical Group, Inc., an internist established in Greenbrae, California operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1528042330 assigned on December 2005. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Marin Medical Group, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Ms. Judy Parker (Office Mgr)

NPI
1528042330
Provider Name
MARIN MEDICAL GROUP, INC.
Entity Type
Organization
Location Address
1341 S ELISEO DR GREENBRAE, CA 94904
Location Phone
(415) 464-8169
Location Fax
(415) 464-8177
Mailing Address
PO BOX 618 NOVATO, CA 94948
Mailing Phone
(415) 493-3342
Mailing Fax
(415) 464-8177
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-05-2005
Last Update Date
08-22-2020
Code Navigator

An internist like Marin Medical Group, Inc. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. JUDY PARKER

Authorized Official Title
OFFICE MGR
Authorized Official Phone
(415) 464-8169

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0943538
Facility Type
Other
Certificate Effective Date
March 30, 2024
Certificate Expiration Date
March 29, 2026
Laboratory Director
PAUL C. OGDEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Marin Medical Group, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MARIN MEDICAL GROUP, INC.

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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.
1528042330
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
254804436
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 0 + 4 + 4 + 3 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1528042330 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518952860DR. CATHARINE TERESA CLARK-SAYLES M.D.
Individual
Internal Medicine1341 S ELISEO DR SUITE 200
GREENBRAE, CA 94904
(415) 464-8176
1285618090DR. JOHN W WARD M.D.
Individual
Internal Medicine1341 S ELISEO DR
GREENBRAE, CA 94904
(415) 464-8169
1548245921DR. DAVID H BERMAN M.D.
Individual
Internal Medicine1341 S ELISEO DR
GREENBRAE, CA 94904
(415) 464-8169
1225130180DR. JEFFREY LOUIS GEISSBERGER DDS
Individual
Dentist (General Practice)1341 S ELISEO DR SUITE 327
GREENBRAE, CA 94904
(415) 461-1341
1093817967DR. MARC JOSEPH GEISSBERGER DDS, MA
Individual
Dentist (General Practice)1341 S ELISEO DR SUITE 327
GREENBRAE, CA 94904
(415) 461-1341
1124310636MARTIN L. ROSSMAN, M.D., A PROFESSIONAL CORPORATION
Organization
General Practice1341 S ELISEO DR SUITE 350
GREENBRAE, CA 94904
(415) 925-8600
1336412006MARIN HEALTHCARE DISTRICT
Organization
Internal Medicine1341 S ELISEO DR SUITE 200
GREENBRAE, CA 94904
(415) 464-8169

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528042330, enumerated in the NPI registry as an "organization" on December 05, 2005

The provider is located at 1341 S Eliseo Dr Greenbrae, Ca 94904 and the phone number is (415) 464-8169

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider's CLIA number is 05D0943538 for a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 05, 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].
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