Active NPI
Marina Harbor Detox
- Substance Abuse Rehabilitation Facility
- San Francisco, CA
National Provider Identifier
1720624497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- MARINA HARBOR DETOX
- Practice address
- 289 Marina Blvd
San Francisco, CA 94123-1212 - Phone
- (415) 868-3858
- NPI assigned
- Nov 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Colin McBride
- Title
- Cro
- Phone
- (631) 672-7441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
289 Marina Blvd
San Francisco, CA 94123-1212
Mailing address
5201 Congress Ave Ste 275
Boca Raton, FL 33487-3609
Phone (415) 868-3858
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://mhd11278.kipuworks.com/ | Health Information Exchange (HIE) |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2174998 | Marina Harbor Detox LLC | Certificate of waiver | Nov 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
5201 Congress Ave
Ste 275
Boca Raton, FL 33487
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Escondido, CA
- NPI 1740546209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785110400000",
"number": "1720624497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 CONGRESS AVE STE 275",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334873609",
"telephone_number": "415-868-3858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 MARINA BLVD",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941231212",
"telephone_number": "415-868-3858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARINA HARBOR DETOX",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-18",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A",
"authorized_official_last_name": "MCBRIDE",
"authorized_official_first_name": "COLIN",
"authorized_official_title_or_position": "CRO",
"authorized_official_telephone_number": "631-672-7441"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://mhd11278.kipuworks.com/",
"affiliation": "N",
"endpointDescription": "HIPPA Comliant EMR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "289 Marina Blvd",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941231212",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.