NPIMap

Organization Active NPI

Marin County Juvenile Probation

  • Community/Behavioral Health Agency
  • San Rafael, CA
National Provider Identifier
1306017512
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MARIN COUNTY JUVENILE PROBATION
Practice address
4 Jeannette Prandi Way
San Rafael, CA 94903-1133
Phone
(415) 499-6659
NPI assigned
Mar 14, 2008
Last updated
Mar 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Mariano Zamudio
Title
Chief of Admin. Services
Phone
(415) 499-6593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4 Jeannette Prandi Way
San Rafael, CA 94903-1133

Mailing address

4 Jeannette Prandi Way
San Rafael, CA 94903-1133
Phone (415) 499-6659

National Provider Directory

National Provider Directory
Tax ID family
Marin County Fire Dept22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Locations

4 Jeannette Prandi Way
San Rafael, CA 94903
Phone (415) 499-6659

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1306017512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 JEANNETTE PRANDI WAY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031133",
            "telephone_number": "415-499-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 JEANNETTE PRANDI WAY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031133",
            "telephone_number": "415-499-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN COUNTY JUVENILE PROBATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "ZAMUDIO",
        "authorized_official_first_name": "MARIANO",
        "authorized_official_title_or_position": "CHIEF OF ADMIN. SERVICES",
        "authorized_official_telephone_number": "415-499-6593"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Mar 14, 2008; 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.