Organization Active NPI

St. Vincent de Paul Society of Marin

  • Case Management Agency
  • San Rafael, CA
National Provider Identifier
1386478303
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ST. VINCENT DE PAUL SOCIETY OF MARIN
Practice address
747 B St
San Rafael, CA 94901-3807
Phone
(415) 454-3303
NPI assigned
Aug 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Meredith Parnell
Title
Chief Program Officer
Phone
(415) 940-0132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

747 B St
San Rafael, CA 94901-3807

Mailing address

PO Box 150527
San Rafael, CA 94915-0527
Phone (415) 940-0132

National Provider Directory

National Provider Directory

Locations

747 B St
San Rafael, CA 94901
Phone (415) 454-3303

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1386478303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150527",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949150527",
            "telephone_number": "415-940-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 B ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013807",
            "telephone_number": "415-454-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT DE PAUL SOCIETY OF MARIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "PARNELL",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
        "authorized_official_telephone_number": "415-940-0132"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "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 Aug 30, 2024; 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.