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

Nicole Betenia, MDMPH

Individual provider Obstetrics & Gynecology Physician · NPI 1316309511

Nicole Betenia, MDMPH is an Obstetrics/Gynecology in San Rafael, California. Graduated from University of California, San Francisco School of Medicine in 2016, 10 years ago. Practices with La Clinica De La Raza Inc, a 131-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
10
Trained at
University of California, San Francisco School of Medicine
Licensed in
CA, IL
In the registry since
2016
Specialties on file
3

Practice location Address checks out

3260 Kerner Blvd
San Rafael, CA 94901-4840
Phone: (415) 448-1500
Show map & directions

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

Additional practice locations (1)

  • 2450 Ashby Ave Rm 3040, Berkeley, CA 94705-2067 — (510) 204-3977

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence A179467 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 036152957 (IL)

Record details

NPI number1316309511
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDMPH
Sole proprietorNo
NPI enumeratedMarch 25, 2016
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice La Clinica De La Raza Inc — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Rafael