NPIMap

Marin Community Clinic

A Medicare group practice based in San Rafael, CA: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 0840108031), with 32 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0840108031The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
8
Group size
28 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
13In 3 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20160729000968 CA Part A Provider - Federally Qualified Health Center (FQHC) 1881057115
O20230201000211 CA Part A Provider - Federally Qualified Health Center (FQHC) 1508514902
O20250829002465 CA Part A Provider - Federally Qualified Health Center (FQHC) 1518716943
O20250611003402 CA Part B Supplier - Clinic/Group Practice 1003900101
O20111020000123 CA Part A Provider - Federally Qualified Health Center (FQHC) 1922303437
O20021207000005 CA Part A Provider - Federally Qualified Health Center (FQHC) 1003900101
O20050413000596 CA Part A Provider - Federally Qualified Health Center (FQHC) 1912091018
O20211013000157 CA Part A Provider - Federally Qualified Health Center (FQHC) 1780292912

NPIs in this group 8

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 32

Clinicians who reassign their Medicare benefits to this group (15) or whom Care Compare lists as members (28).

Sources for this page