NPIMap

Organization Active NPI

Community Action Marin

  • Contractor
  • San Rafael, CA
National Provider Identifier
1285823617
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
COMMUNITY ACTION MARIN
Practice address
555 Northgate Dr Ste 201
San Rafael, CA 94903-3696
Phone
(415) 526-7500
Fax
(415) 457-9677
NPI assigned
Oct 22, 2007
Last updated
Oct 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Authorized official

Name
Chandra Alexandre, PHD
Title
Ceo
Phone
(415) 526-7511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

555 Northgate Dr Ste 201
San Rafael, CA 94903-3696

Mailing address

555 Northgate Dr Ste 201
San Rafael, CA 94903-3696
Phone (415) 526-7500

National Provider Directory

National Provider Directory
Tax ID family
Community Action Marin10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1285823617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 NORTHGATE DR STE 201",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033696",
            "telephone_number": "415-526-7500",
            "fax_number": "415-457-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 NORTHGATE DR STE 201",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033696",
            "telephone_number": "415-526-7500",
            "fax_number": "415-457-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION MARIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "ALEXANDRE",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-526-7511",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.