Organization Active NPI

ENT Consultants of Marin PC

  • Otolaryngology Physician
  • Greenbrae, CA
National Provider Identifier
1992131957
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A97429 Issued in CA
Legal business name
ENT CONSULTANTS OF MARIN PC
Practice address
1363 S Eliseo Dr Ste a
Suite a
Greenbrae, CA 94904-2012
Phone
(888) 775-2736
Fax
(949) 209-3474
NPI assigned
Sep 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Dr. Kambridge Pirc Hribar, M.D.NPI 1619100195
Title
Ceo
Phone
(415) 748-9377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X A97429 CA Primary

Addresses

Primary practice location

1363 S Eliseo Dr Ste a
Suite a
Greenbrae, CA 94904-2012

Mailing address

1363 S Eliseo Dr Ste a
Greenbrae, CA 94904-2012
Phone (415) 295-7160

National Provider Directory

National Provider Directory

Locations

1363 S Eliseo Dr
Ste A
Greenbrae, CA 94904
Phone (415) 207-0053

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1992131957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 S ELISEO DR STE A",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042012",
            "telephone_number": "415-295-7160",
            "fax_number": "888-960-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 S ELISEO DR STE A",
            "address_2": "SUITE A",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042012",
            "telephone_number": "888-775-2736",
            "fax_number": "949-209-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT CONSULTANTS OF MARIN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "HRIBAR",
        "authorized_official_first_name": "KAMBRIDGE",
        "authorized_official_middle_name": "PIRC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-748-9377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A97429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.