Organization Active NPI

Marin Hills Medical Group Inc

  • General Practice Physician
  • San Rafael, CA
National Provider Identifier
1962585786
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G28033 Issued in CA
Legal business name
MARIN HILLS MEDICAL GROUP INC
Practice address
711 D Street
Suite 102
San Rafael, CA 94901
Phone
(415) 457-7414
Fax
(415) 460-2750
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Peter Barry, MD
Title
Co Ceo
Phone
(415) 457-7414

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X G23690 CA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X G28033 CA Primary

Addresses

Primary practice location

711 D Street
Suite 102
San Rafael, CA 94901

Mailing address

711 D Street
Suite 102
San Rafael, CA 94901
Phone (415) 457-7414

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1962585786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 D STREET",
            "address_2": "SUITE 102",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94901",
            "telephone_number": "415-457-7414",
            "fax_number": "415-460-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 D STREET",
            "address_2": "SUITE 102",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94901",
            "telephone_number": "415-457-7414",
            "fax_number": "415-460-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN HILLS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CO CEO",
        "authorized_official_telephone_number": "415-457-7414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G23690",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G28033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 11, 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.