Individual provider Active NPI

Drew E Maris

  • Family Medicine Physician
  • San Rafael, CA
National Provider Identifier
1467538397
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A76638 Issued in CA
Practice address
2400 Las Gallinas Ave Ste 120
San Rafael, CA 94903-1456
Phone
(415) 455-0914
Fax
(831) 438-2473
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A76638 CA Primary

Addresses

Primary practice location

2400 Las Gallinas Ave Ste 120
San Rafael, CA 94903-1456

Mailing address

2400 Las Gallinas Ave Ste 120
San Rafael, CA 94903-1456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080819000533 CA Practitioner - Family PracticePractitioner - Hospice/Palliative Care 6608941141 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
University of California, Irvine, California College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

155 Andersen Dr
Suite 1108
San Rafael, CA 94901-3999
Phone (415) 455-0914

Hospital & facility affiliations

  • Allegro Home Health, Inc Home health agency, Larkspur, CA, CCN 757057
  • Best Home Health Providers, Inc Home health agency, Hayward, CA, CCN 059546
  • Sutter Care at Home Home health agency, Novato, CA, CCN 057031
  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
  • Novato Community Hospital Hospital, Novato, CA, CCN 050131
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A76638CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Drew E Maris MD Professional Corporation Family Medicine CurrentSince Apr 29, 2022 Accepting new patients
Doctors on Duty Medical Group, Inc CurrentSince Dec 14, 2021 Accepting new patients
James D Taylor MD Inc PastSince Apr 29, 2022 Accepting new patients

Locations

3130 Del Monte Blvd
Marina, CA 93933
Phone (831) 883-3330

2400 Las Gallinas Ave
Ste 120
San Rafael, CA 94903
Phone (415) 472-7662

155 Andersen Dr
Ste 1108
San Rafael, CA 94901
Phone (415) 455-0914

615 Ocean St
Santa Cruz, CA 95060
Phone (831) 425-7991

Interoperability endpoints

  • Direct secure messaging: dmaris16491@direct.svmh.com
  • Direct secure messaging: dmaris263398@hisp.ehr.sutterhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1467538397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 LAS GALLINAS AVE STE 120",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LAS GALLINAS AVE STE 120",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031456",
            "telephone_number": "415-455-0914",
            "fax_number": "831-438-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIS",
        "first_name": "DREW",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A76638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.