Marin Oriental Medicine, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC7818 Issued in CA

Legal business name

MARIN ORIENTAL MEDICINE, INC.

Practice address

38 Caledonia St Ste 1
Sausalito, CA 94965-2117

Phone

(415) 332-1013

Fax

(415) 231-3086

NPI assigned

Jun 13, 2017

Organization subpart

No

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

Authorized official

Name

Evan Shepherd Reiff, L.AC.

Title

Vice President

Phone

(415) 498-0755

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Devatara J. Holman, MS, MA, LAC

  • Acupuncturist
  • Sausalito, CA
  • NPI 1760667455
  NPD (past)

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497312000000",
    "number": "1528598430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 CALEDONIA ST STE 1",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652117",
            "telephone_number": "415-332-1013",
            "fax_number": "415-231-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 CALEDONIA ST STE 1",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652117",
            "telephone_number": "415-332-1013",
            "fax_number": "415-231-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN ORIENTAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A",
        "authorized_official_last_name": "REIFF",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "SHEPHERD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "415-498-0755",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265612436",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760667455",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marin City Community Development Corporation
• Marin City Health and Wellness Center (Perinatal and Women's Health Suite)
• Marin City Health and Wellness Center
• Marin City Health and Wellness Center
• Marin Healthcare District
• Mary Christy-Cirillo MFT
• Daniel C May, MD
• Danielle A McAlexander, CCC-SLP
• Maureen McCoy, O.D.
• MCCT

• Acupuncturist in Sausalito, CA
• Providers in Sausalito, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; 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.