MARIN HEALTHCARE DISTRICT (NPI# 1164795829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164795829 |
| Entity Type | Organization |
| Organization Name | MARIN HEALTHCARE DISTRICT |
| Other Organization Name | CARDIOVASCULAR ASSOCIATES |
| Practice Address |
2 Bon Air Rd Suite 100 Larkspur CA 94939-1141 |
| Mailing Address |
Po Box 45094 San Francisco CA 94145-0094 |
| Practice Telephone | 4159270666 |
| Practice Fax Number | 4159276155 |
| Mailing Telephone | 4154642090 |
| Mailing Fax Number | 4154642094 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2013-10-31 |
| Authorized Official Name | MR. LEE DOMANICO (CEO) |
| Authorized Official Telephone | 4154642090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE GROUP PTAN | CS440A | 01 |
| Other Name | Type Code |
|---|---|
| Cardiovascular Associates | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366819278 | Marin Healthcare District | Surgery | 100 Drakes Landing Rd # B, Suite 250, Greenbrae, CA 94904-2404 | 2015-08-26 |
| 1659609964 | Marin Healthcare District | Clinic/Center | 100 B Drakes Landing Road, Ste. 250, Greenbrae, CA 94904-3121 | 2009-11-24 |
| 1023484425 | Marin Healthcare District | Surgery | 75 Rowland Way, Suite 101, Novato, CA 94945-5037 | 2015-08-19 |
| 1770913741 | Marin Healthcare District | Internal Medicine | 1100 S Eliseo Dr, Suite 2a, Greenbrae, CA 94904-2017 | 2013-11-12 |
| 1467881201 | Marin Healthcare District | Urology | 1000 S Eliseo Dr, Suite 201, Greenbrae, CA 94904-2133 | 2013-11-02 |
| 1891124632 | Marin Healthcare District | Surgery | 1100 S Eliseo Dr, Suite 2a, Greenbrae, CA 94904-2017 | 2013-11-02 |
| 1942573555 | Marin Healthcare District | Family Medicine | 111 Second St, Sausalito, CA 94965-2526 | 2012-02-13 |
| 1174896799 | Marin Healthcare District | Family Medicine | 11150 Highway 1, Point Reyes Station, CA 94956-9756 | 2012-02-13 |
| 1851664528 | Marin Healthcare District | Internal Medicine | 165 Rowland Way, Suite 201, Novato, CA 94945-5038 | 2012-02-10 |
| 1336412006 | Marin Healthcare District | Internal Medicine | 1341 S Eliseo Dr, Suite 200, Greenbrae, CA 94904-2000 | 2012-02-10 |
| Street Address |
2 BON AIR RD SUITE 100 |
| City | LARKSPUR |
| State | CA |
| Zip Code | 94939-1141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104816917 | Margaret L. Baer | Internal Medicine | 2 Bon Air Rd, #100, Larkspur, CA 94939-1141 | 2005-10-24 |
| 1023664869 | Chris Kane | Physical Therapist | 2 Bon Air Rd, Larkspur, CA 94939-1141 | 2019-08-16 |
| 1508139536 | Brigette Lofholm | Pharmacist | 2 Bon Air Rd, Suite 130, Larkspur, CA 94939-1141 | 2012-02-22 |
| 1598059123 | Elizabeth Neal Gonzales | Dietitian, Registered | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1141 | 2011-05-31 |
| 1306156781 | Shannon Browning | Nurse Practitioner | 2 Bon Air Rd, #100, Larkspur, CA 94939-1141 | 2010-10-19 |
| 1083934301 | Kimberly Hoagland Madsen | Dietitian, Registered | 2 Bon Air Rd, Suite 130, Larkspur, CA 94939-1141 | 2010-06-09 |
| 1346571312 | Sarah M Lamb | Clinical Nurse Specialist | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1141 | 2010-01-14 |
| 1629233051 | Kabir Jeewan Singh | Internal Medicine | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1141 | 2008-07-24 |
| 1063690782 | Brian Su | Orthopaedic Surgery | 2 Bon Air Rd, Suite 120, Larkspur, CA 94939-1141 | 2008-02-05 |
| 1356546535 | California Orthopedics & Spine Inc | Specialist | 2 Bon Air Rd, Suite 120, Larkspur, CA 94939 | 2007-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760771901 | Benjamin Stahl | Surgery | Prima Medical Group, 5 Bon Air Road, #101, Larkspur, CA 94939 | 2011-03-28 |
| 1215100383 | Richard William Brenner | Psychiatry & Neurology | 980 Magnolia Ave, Ste 8, Larkspur, CA 94939 | 2008-04-09 |
| 1053584680 | Todd A Maderis | Acupuncturist | 1100 Larkspur Landing Cir #255, Larkspur, CA 94939 | 2008-04-03 |
| 1073709416 | Arundathi Shenoy Malladi | Internal Medicine | 2 Bon Air Rd., #150, Larkspur, CA 94939 | 2007-09-19 |
| 1386855567 | Katherine Louise Chick | Internal Medicine | 980 Magnolia Avenue, Suite 6a, Larkspur, CA 94939 | 2007-05-27 |
| 1639215148 | David W Rose | Chiropractor | 641 Magnolia Ave, #1, Larkspur, CA 94939 | 2007-01-30 |
| 1205988623 | Jay R Salzman | Dentist | 2200 Larkspur Landing Circle, Larkspur, CA 94939 | 2007-01-17 |
| 1497782585 | Katherine Manning | Physical Therapist | 2801larkspur Landing Circle, Larkspur, CA 94939 | 2006-06-26 |
| 1720067226 | Jan Ellen Maisel | Pediatrics | 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | 2006-01-12 |
| 1740267715 | Jacqueline Susanna Chan | Family Medicine | 1100 Larkspur Landing Circle #255, Larkspur, CA 94939 | 2005-12-29 |
| Find all providers in zip 94939 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629233051 | Kabir Jeewan Singh | Internal Medicine | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1141 | 2008-07-24 |
| 1245358324 | Arun Raghupathy | Internal Medicine | 2 Bon Air Rd Ste 100, Larkspur, CA 94939-1144 | 2007-03-27 |
| 1336130145 | Ann K. Kao | Internal Medicine | 2 Bon Air Rd, #100, Larkspur, CA 94939-1141 | 2005-11-01 |
| 1851381685 | David C. Sperling | Internal Medicine | 2 Bon Air Rd, #100, Larkspur, CA 94939-1141 | 2005-10-24 |
| 1558351387 | Robert T. Sperling | Internal Medicine | 2 Bon Air Rd, #100, Larkspur, CA 94939-1141 | 2005-10-24 |
| 1922098763 | Brian L. Strunk | Internal Medicine | 2 Bon Air Rd, #100, Larkspur, CA 94939-1141 | 2005-10-24 |
| 1215927926 | Joel Sklar | Internal Medicine | 2 Bon Air Rd, #100, Larkspur, CA 94939-1141 | 2005-10-24 |
| 1790775609 | Cardiovascular Associates of Marin & San Francisco Medical Group Inc | Internal Medicine | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1141 | 2005-10-24 |
| 1659361400 | Jerald A. Young | Internal Medicine | 2 Bon Air Rd, #100, Larkspur, CA 94939-1141 | 2005-10-24 |
| 1811987621 | Kent N. Gershengorn | Internal Medicine | 2 Bon Air Rd, #100, Larkspur, CA 94939-1141 | 2005-10-24 |
| Find all providers in LARKSPUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.