Marin Center for Independent Living

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MARIN CENTER FOR INDEPENDENT LIVING

Practice address

710 4TH St
San Rafael, CA 94901-3213

Phone

(415) 459-6245

Fax

(415) 459-7047

NPI assigned

Jun 8, 2023

Last updated

Jun 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Elisha Gelardin

Title

Chief Executive Officer

Phone

(415) 350-3804

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1053005215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 4TH ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013213",
            "telephone_number": "415-459-6245",
            "fax_number": "415-459-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 4TH ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013213",
            "telephone_number": "415-459-6245",
            "fax_number": "415-459-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN CENTER FOR INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "GELARDIN",
        "authorized_official_first_name": "ELISHA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "415-350-3804",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Letha Marchetti, OTR/L
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• Pamela Marcucci, PH.D.
• Mona Mardini
• Robin Margonie
• Marin City Health and Wellness Center
• Marin City Health and Wellness Center
• Marin City Health and Wellness Center (Marin Family Birth Center)
• Marin Community Clinic
• Marin Community Clinic

• Case Management Agency in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.