Active NPI
Marin Hills Medical Group Inc
- General Practice Physician
- San Rafael, CA
National Provider Identifier
1962585786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- G28033
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G23690 | CA | |
| General Practice Physician | 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 DirectoryNPI 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.