Marin Ophthalmic Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

110000410 Issued in CA

Legal business name

MARIN OPHTHALMIC SURGERY CENTER

Practice address

901 E St Suite 270
San Rafael, CA 94901

Phone

(415) 454-5565

Fax

(415) 454-6542

NPI assigned

Jun 9, 2005

Last updated

Aug 17, 2018By 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

Ms. Safiya Arnaout

Title

Administrative Director

Phone

(415) 454-5565

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Marin Ophthalmic Surgery CenterCCN 05C0001276

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 2

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.

• Margaret Harrington, M.D.

  • Anesthesiology Physician
  • San Rafael, CA
  • NPI 1053530964
  NPD (past)
• John C Shin, M.D.

  • Specialist
  • San Rafael, CA
  • NPI 1114920477
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1336143148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94901",
            "telephone_number": "415-454-5565",
            "fax_number": "415-454-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E ST SUITE 270",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94901",
            "telephone_number": "415-454-5565",
            "fax_number": "415-454-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN OPHTHALMIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "ARNAOUT",
        "authorized_official_first_name": "SAFIYA",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "415-454-5565",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "110000410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01276F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marin Naturopathic Medicine
• Marin Neuropsychology and Psychological Center, PC
• Marin Neuropsychology Center - a Psychology Corporation
• Marin Ophthalmic Consultants, a Medical Corporation
• Marin Ophthalmic Gallary
• Marin Optometric Group, Inc
• Marin Outpatient and Recovery Services
• Marin Outpatient Recovery Services
• Marin Petct Imaging, LLC
• Marin Physical Therapy, Inc.

• Ambulatory Surgical Clinic/Center in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.