Dr. Molly Koehler, Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DR. MOLLY KOEHLER, PROFESSIONAL CORPORATION

Doing business as

Marin Direct Primary Care Medical Clinic with Dr. Molly Koehler

Practice address

1050 Northgate Dr Ste 250
San Rafael, CA 94903-2511

Phone

(415) 225-9615

Fax

(415) 805-7243

NPI assigned

Sep 21, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Tarin Molly Koehler, D.O.NPI 1518163013

Title

President

Phone

(415) 226-9615

Specialties & licenses 1

Addresses

Other names 1

• Marin Direct Primary Care Medical Clinic with Dr. Molly Koehler Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tarin Molly Koehler, D.O.

  • Family Medicine Physician
  • San Rafael, CA
  • NPI 1518163013
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1134946247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 NORTHGATE DR STE 250",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032511",
            "telephone_number": "415-225-9615",
            "fax_number": "415-805-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NORTHGATE DR STE 250",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032511",
            "telephone_number": "415-225-9615",
            "fax_number": "415-805-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MOLLY KOEHLER, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-21",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "KOEHLER",
        "authorized_official_first_name": "TARIN",
        "authorized_official_middle_name": "MOLLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-226-9615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marin Direct Primary Care Medical Clinic with Dr. Molly Koehler",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marin Direct Primary Care Medical Clinic with Dr. Molly Koehler",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sofia C Dower-Vasquez
• Kendra Thompson Downey, RN NP
• Brianna Doyle, RADT
• Elizabeth M. Doyle
• Dr Michael Y Chew OD
• Dr.'S Shturman, Michelson and Kisilyuk a Dental Corporation
• Scott Dragoman, PHARMD, RPH
• Emily Drake
• Drew E Maris MD Professional Corporation
• Stephen Drew, PH.D.

• Family Medicine Physician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.