Organization Active NPI

Marin General Hospital

  • General Acute Care Hospital
  • San Rafael, CA
National Provider Identifier
1649305459
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
91018234 Issued in CA
Legal business name
MARIN GENERAL HOSPITAL
Practice address
4000 Civic Center Dr
160
San Rafael, CA 94903-4171
Phone
(415) 492-4790
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. David Bradley
Title
Ceo
Phone
(415) 925-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 91018234 CA Primary

Addresses

Primary practice location

4000 Civic Center Dr
160
San Rafael, CA 94903-4171

Mailing address

639 Larkspur Plaza Dr
Larkspur, CA 94939-1451

National Provider Directory

National Provider Directory
Tax ID family
Marin General Hospital4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4000 Civic Center Dr
#160
San Rafael, CA 94903
Phone (415) 492-4790

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649305459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 LARKSPUR PLAZA DR",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CIVIC CENTER DR",
            "address_2": "160",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034171",
            "telephone_number": "415-492-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-925-7100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "91018234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.