Individual provider Active NPI

Marvin Robert Garovoy, M.D.

  • Specialist
  • San Anselmo, CA
National Provider Identifier
1285969840
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G28644
Practice address
9 Dutch Valley LN
San Anselmo, CA 94960-1015
Phone
(415) 454-9052
Fax
(415) 453-6152
NPI assigned
Oct 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G28644 Primary

Addresses

Primary practice location

9 Dutch Valley LN
San Anselmo, CA 94960-1015

Mailing address

9 Dutch Valley LN
San Anselmo, CA 94960-1015
Phone (415) 454-9052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255478400000",
    "number": "1285969840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DUTCH VALLEY LN",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601015",
            "telephone_number": "415-454-9052",
            "fax_number": "415-453-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DUTCH VALLEY LN",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601015",
            "telephone_number": "415-454-9052",
            "fax_number": "415-453-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAROVOY",
        "first_name": "MARVIN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": "G28644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Anselmo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.