Organization Active NPI

Marin Imaging

  • Radiology Clinic/Center
  • San Anselmo, CA
National Provider Identifier
1629335021
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
DC 26700 Issued in CA
Legal business name
MARIN IMAGING
Practice address
6 Bridge St
Suite 2a
San Anselmo, CA 94960-2040
Phone
(415) 454-1750
Fax
(866) 580-9020
NPI assigned
Apr 23, 2012
Last updated
Apr 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Dr. Rachael Corsano, D.C.NPI 1770516783
Title
Owner / Operator
Phone
(415) 454-1750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X DC 26700 CA Primary

Addresses

Primary practice location

6 Bridge St
Suite 2a
San Anselmo, CA 94960-2040

Mailing address

6 Bridge St
Suite 2a
San Anselmo, CA 94960-2040
Phone (415) 454-1750

National Provider Directory

National Provider Directory

Locations

6 Bridge Ave
Ste 2A
San Anselmo, CA 94960
Phone (415) 454-1700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1629335021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BRIDGE ST",
            "address_2": "SUITE 2A",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602040",
            "telephone_number": "415-454-1750",
            "fax_number": "866-580-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BRIDGE ST",
            "address_2": "SUITE 2A",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602040",
            "telephone_number": "415-454-1750",
            "fax_number": "866-580-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "CORSANO",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "OWNER / OPERATOR",
        "authorized_official_telephone_number": "415-454-1750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "DC 26700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Anselmo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.