Bayside Marin, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

210021CP Issued in CA

Legal business name

BAYSIDE MARIN, INC.

Doing business as

Bayside Marin

Practice address

718 4TH St
San Rafael, CA 94901-3213

Phone

(800) 757-7131

Fax

(415) 454-3535

NPI assigned

Dec 1, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Brian Farley

Title

Vice President and Secretary

Phone

(615) 861-6000

Specialties & licenses 1

Addresses

Other names 1

• Bayside Marin Doing business as

Tax ID family

Bayside Marin3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Bayside Marin, Inc.

  dba Bayside Marin

  • Adult Mental Health Clinic/Center
  • San Rafael, CA
  • NPI 1063110229
  NPD tax ID
• Bayside Marin, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Rafael, CA
  • NPI 1417495623
  NPD tax ID

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1801041074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 ASPEN GROVE DR STE 900",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370673134",
            "telephone_number": "615-861-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 4TH ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013213",
            "telephone_number": "800-757-7131",
            "fax_number": "415-454-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE MARIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "615-861-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "210021CP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Marin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bay Mobile Physical Therapy
• Bay Recovery Services LLC
• Jamie J Baylis
• Bayside Marin, Inc. (Bayside Marin)
• Bayside Marin, Inc.
• Izza Bazigh, M.D
• Tencia Beavers-Sanchez
• Jason P Beck, D.C.
• Stephen Beck
• Eileen Becker

• Substance Abuse Rehabilitation Facility in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.