Organization Active NPI

Marin Womens Health

  • Gynecology Physician
  • Larkspur, CA
National Provider Identifier
1760852503
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
201997 Issued in CA
Legal business name
MARIN WOMENS HEALTH
Practice address
5 Bon Air Rd
BLD D, Suite 219
Larkspur, CA 94939-1136
Phone
(415) 233-3406
Fax
(415) 924-1770
NPI assigned
Oct 6, 2015
Organization subpart
Yes
Parent organization
MARIN WOMENS HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Ms. Stacy Reese Bischoff, RN, NP, PC
Title
Owner/Manager
Phone
(415) 233-3406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 201997 CA Primary

Addresses

Primary practice location

5 Bon Air Rd
BLD D, Suite 219
Larkspur, CA 94939-1136

Mailing address

5 Bon Air Rd
BLD D, Suite 219
Larkspur, CA 94939-1136
Phone (415) 233-3406

National Provider Directory

National Provider Directory
Tax ID family
Marin Womens Health2 organizations share this tax ID, including this one
Part of
Marin Womens Health

Other organizations with this tax ID 1

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

Locations

5 Bon Air Rd
Ste 219
Larkspur, CA 94939
Phone (415) 233-3406

Practitioners & affiliated clinicians

Practitioners 1

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": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1760852503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BON AIR RD",
            "address_2": "BLD D, SUITE 219",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391136",
            "telephone_number": "415-233-3406",
            "fax_number": "415-924-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BON AIR RD",
            "address_2": "BLD D, SUITE 219",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391136",
            "telephone_number": "415-233-3406",
            "fax_number": "415-924-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN WOMENS HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARIN WOMENS HEALTH",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "BISCHOFF",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "REESE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "415-233-3406",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, NP, PC"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "201997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larkspur, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.