Marin Medical Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MARIN MEDICAL GROUP, INC.

Practice address

1341 S Eliseo Dr
Greenbrae, CA 94904-2000

Phone

(415) 464-8169

Fax

(415) 464-8177

NPI assigned

Dec 5, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Judy Parker

Title

Office MGR

Phone

(415) 464-8169

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528042330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 618",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949480618",
            "telephone_number": "415-493-3342",
            "fax_number": "415-493-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 S ELISEO DR",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042000",
            "telephone_number": "415-464-8169",
            "fax_number": "415-464-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "415-464-8169",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marin Healthcare District
• Marin Healthcare District
• Marin Hospitalist Medical Group, Inc.
• Marin Magnetic Resonance Imaging Center, LLC
• Marin Medical Concierge
• Marin Medical Laboratories
• Marin Medical Laboratories
• Marin Nephrology
• Marin Pediatric Associates, a Medical Corporation
• Marin Psychiatric Group, Inc.

• All providers in Greenbrae, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.