Marin Surgical Associates, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A65187 Issued in CA

Legal business name

MARIN SURGICAL ASSOCIATES, INC.

Practice address

1055 Broadway Ste a
Sonoma, CA 95476-7467

Phone

(866) 441-0570

NPI assigned

Mar 21, 2009

Organization subpart

No

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

Authorized official

Name

Marsha Summers

Title

Practice Manager

Phone

(866) 441-0570

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1237593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704585600000",
    "number": "1508007535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EAGLE GAP RD",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949496672",
            "telephone_number": "866-441-0570",
            "fax_number": "707-964-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 BROADWAY STE A",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954767467",
            "telephone_number": "866-441-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN SURGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-21",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-07",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "866-441-0570"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A65187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjay Manandhar
• Katrina Chelsea Beltran Manlutac
• Dena Toby Marcus, DDS
• Angela Cuento Marian, PT
• Marin Medical Laboratories
• Julie Marth, MA CCCA
• Kevin Paul Martin, O.D.
• Laura Lyn Martin, O.D.
• Linda Rae Martin, LCSW
• Gabriela McAuliffe

• Surgery Physician in Sonoma, CA
• Providers in Sonoma, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.