NPIMap

Organization Active NPI

Marin Hospitalist Medical Group, Inc.

  • Internal Medicine Physician
  • Greenbrae, CA
National Provider Identifier
1023041753
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G73589 Issued in CA
Legal business name
MARIN HOSPITALIST MEDICAL GROUP, INC.
Practice address
250 Bon Air Rd
3Rd Floor
Greenbrae, CA 94904-1702
Phone
(415) 925-7545
Fax
(415) 925-7008
NPI assigned
Jul 8, 2006
Last updated
Aug 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Douglas Cohen, MDNPI 1932127248
Title
Ceo
Phone
(415) 518-8115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G73589 CA Primary

Addresses

Primary practice location

250 Bon Air Rd
3Rd Floor
Greenbrae, CA 94904-1702

Mailing address

336 Bon Air Center #427
Greenbrae, CA 94904
Phone (415) 925-7545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031211001139 CA Part B Supplier - Clinic/Group Practice 1456257146 Receives reassigned benefits from 83 practitioners
Practice locations: Kentfield, CA; Greenbrae, CA

National Provider Directory

National Provider Directory

Locations

250 Bon Air Rd
Fl 3
Greenbrae, CA 94904
Phone (415) 925-7545

250 Bon Air Rd
Rm 3209
Greenbrae, CA 94904
Phone (415) 925-7545

250 Bon Air Rd
Fl 2
Kentfield, CA 94904
Phone (415) 473-4380

Practitioners & affiliated clinicians

Practitioners 199

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 199

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1023041753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 BON AIR CENTER #427",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "94904",
            "telephone_number": "415-925-7545",
            "fax_number": "415-925-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD",
            "address_2": "3RD FLOOR",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041702",
            "telephone_number": "415-925-7545",
            "fax_number": "415-925-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN HOSPITALIST MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-518-8115",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G73589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.