NPIMap

Organization Active NPI

Marindale Medical Therapy Unit

  • Physical Therapy Clinic/Center
  • San Rafael, CA
National Provider Identifier
1699844050
Registry record updated May 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MARINDALE MEDICAL THERAPY UNIT
Practice address
850 Del Ganado Rd
San Rafael, CA 94903-2310
Phone
(415) 479-2203
Fax
(415) 446-4476
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2023

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

Authorized official

Name
Nancy Aduna, P.T.NPI 1043746803
Title
Chief Therapist
Phone
(415) 473-6893

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

850 Del Ganado Rd
San Rafael, CA 94903-2310

Mailing address

3240 Kerner Blvd
San Rafael, CA 94901
Phone (415) 473-6893

Other identifiers 1

IdentifierTypeStateIssuer
CCS00037FMedicaidCA

Other names 1

  • California Children's Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Marin County Health and22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Locations

850 Del Ganado Rd
San Rafael, CA 94903
Phone (415) 479-1209

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685145600000",
    "number": "1699844050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 KERNER BLVD",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94901",
            "telephone_number": "415-473-6893",
            "fax_number": "415-473-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 DEL GANADO RD",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032310",
            "telephone_number": "415-479-2203",
            "fax_number": "415-446-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINDALE MEDICAL THERAPY UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-05-27",
        "certification_date": "2023-05-27",
        "status": "A",
        "authorized_official_last_name": "ADUNA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CHIEF THERAPIST",
        "authorized_official_telephone_number": "415-473-6893",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CCS00037F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Children's Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 27, 2023; 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.