Individual provider Active NPI

Edwin Seth Munich, MD

  • Family Medicine Physician
  • San Rafael, CA
National Provider Identifier
1770556805
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A65696 Issued in CA
Practice address
1004 Northgate Dr
San Rafael, CA 94903-2502
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A65696 CA Primary

Addresses

Primary practice location

1004 Northgate Dr
San Rafael, CA 94903-2502

Mailing address

130 Sutter St FL 2
San Francisco, CA 94104-4009
Phone (415) 658-6791

Other practice location 1

3100 Telegraph Ave
Suite 2102
Oakland, CA 94609-3210
Phone (510) 286-8160

Other identifiers 1

IdentifierTypeStateIssuer
GR0028630MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050321000976 CA Practitioner - Family Practice 6507811700 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Medical Group IncGroup PAC ID 2567623739, 330 clinicians

Practice addresses (Care Compare)

1004 Northgate Dr
San Rafael, CA 94903-2502
Phone (415) 590-6150

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A65696CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc. Family Medicine CurrentSince Aug 13, 2018 Accepting new patients
Lifelong Medical Care Family Medicine CurrentSince Jan 1, 2015 Accepting new patients
Alameda Health System CurrentSince Dec 12, 2012 Accepting new patients
Alameda Health System CurrentSince Dec 12, 2012 Accepting new patients
Alameda Health System Current Accepting new patients
One Medical Group, Inc Family Medicine CurrentSince Aug 13, 2018 Accepting new patients
Lifelong Medical Care CurrentSince Jan 1, 2015 Accepting new patients

Locations

3260 Sacramento St
Berkeley, CA 94702
Phone (510) 428-4500

2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203

88 Mesa Rd
Bolinas, CA 94924
Phone (415) 663-8666

350 Bon Air Rd
Ste 200
Greenbrae, CA 94904
Phone (415) 578-3095

350 Bon Air Ctr
Ste 200
Greenbrae, CA 94904
Phone (415) 578-3095

664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700

6066 Civic Terrace Ave
Newark, CA 94560
Phone (510) 505-1600

1955 Broadway
Ste A
Oakland, CA 94612

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

130 Sutter St
Fl 2
San Francisco, CA 94104
Phone (415) 529-4522

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

110 Sutter St
Fl 6
San Francisco, CA 94104
Phone (415) 392-8200

2950 S Delaware St
Ste 150
San Mateo, CA 94403

1004 Northgate Dr
San Rafael, CA 94903
Phone (415) 590-6150

1299 Oakmead Pkwy
Sunnyvale, CA 94085
Phone (408) 266-3100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1770556805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SUTTER ST FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941044009",
            "telephone_number": "415-658-6791",
            "fax_number": "415-520-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 NORTHGATE DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032502",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Telegraph Ave",
            "address_2": "Suite 2102",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093210",
            "country_code": "US",
            "telephone_number": "510-286-8160",
            "fax_number": "510-286-8158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNICH",
        "first_name": "EDWIN",
        "middle_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A65696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0028630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.