Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marin Community Clinic

Organization Family Medicine Physician · NPI 1508514902

Marin Community Clinic is a Family Medicine Physician in San Rafael, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4

Practice location Address checks out

1618 2nd St
San Rafael, CA 94901-2707
Phone: (415) 448-1500
Fax: (415) 798-3104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1508514902
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Skelly — Billing Manager · (415) 798-3135
NPI enumeratedMarch 15, 2022
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022
Mailing addressPo Box 5008, Novato, CA 94948-5008

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