MARIN COMMUNITY CLINIC
NPI 1790788107
Clinic/Center - Federally Qualified Health Center (FQHC) in Novato, CA

NPI Status: Active since May 31, 2005

Contact Information

400 PROFESSIONAL CENTER DR
STE 424
NOVATO, CA
ZIP 94947
Phone: (415) 448-1531
Fax: (415) 892-8732

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  • 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 Novato, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1790788107 assigned on May 2005. The practitioner's primary taxonomy code is 261QF0400X with license number 1100491 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Ms. Deborah Udall (Director Of Patient Accounts)

NPI
1790788107
Provider Name
MARIN COMMUNITY CLINIC
Entity Type
Organization
Location Address
400 PROFESSIONAL CENTER DR STE 424 NOVATO, CA 94947
Location Phone
(415) 448-1531
Location Fax
(415) 892-8732
Mailing Address
9 COMMERCIAL BLVD SUITE 103 NOVATO, CA 94949
Mailing Phone
(415) 798-3106
Mailing Fax
(415) 892-8732
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-31-2005
Last Update Date
01-28-2016
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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.
1100491
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.

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. DEBORAH UDALL

Authorized Official Title
DIRECTOR OF PATIENT ACCOUNTS
Authorized Official Phone
(415) 798-3106

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
551918MEDICARE ID-TYPE UNSPECIFIED (04)CAFQHC - NOVATO
1100491OTHER (01)CADHS LICENSE- NOVATO
FHC70941MEDICAID (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.
1790788107
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271801481610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 4 + 8 + 1 + 6 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1790788107 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053318824 STEPHEN LEWIS DALTON M.D.
Individual
Dermatology400 PROFESSIONAL CENTER DR SUITE 414
NOVATO, CA 94947
(415) 892-0754
1619976339 LAURA JEANNE COLLINS MD
Individual
Internal Medicine400 PROFESSIONAL CENTER DR SUITE 424
NOVATO, CA 94947
(415) 448-1555
1558461103DR. ERIK PAUL SCHTEN M.D.
Individual
Internal Medicine400 PROFESSIONAL CENTER DR SUITE 424
NOVATO, CA 94947
(415) 448-1555
1780776039 TRACEY MICHELLE HESSEL M.D.
Individual
Pediatrics400 PROFESSIONAL CENTER DR SUITE 424
NOVATO, CA 94947
(415) 448-1555
1881787786MS. JESSICA CATHERINE HOLLMAN M.D.
Individual
Pediatrics400 PROFESSIONAL CENTER DR SUITE 424
NOVATO, CA 94947
(415) 448-1555
1619067469 JANET A NUNNALLY N.P.
Individual
Nurse Practitioner (Family)400 PROFESSIONAL CENTER DR SUITE 424
NOVATO, CA 94947
(415) 448-1555
1396827861 SANDRA P. LEVY P.N.P.
Individual
Nurse Practitioner (Pediatrics)400 PROFESSIONAL CENTER DR SUITE 424
NOVATO, CA 94947
(415) 448-1555
1972642098DR. GAIL ALTSCHULER M.D.
Individual
Family Medicine (Adult Medicine)400 PROFESSIONAL CENTER DR SUITE 411
NOVATO, CA 94947
(415) 897-9800
1578905345 FIONA ANNE MARION
Individual
Pediatrics400 PROFESSIONAL CENTER DR
NOVATO, CA 94947
(415) 892-0965

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790788107, enumerated in the NPI registry as an "organization" on May 31, 2005

The provider is located at 400 Professional Center Dr Ste 424 Novato, Ca 94947 and the phone number is (415) 448-1531

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 31, 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.