COMMUNITY ACTION MARIN (NPI# 1346377785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346377785 |
| Entity Type | Organization |
| Organization Name | COMMUNITY ACTION MARIN |
| Other Organization Name | HAVEN PROGRAM |
| Practice Address |
250 Bon Air Rd Greenbrae CA 94904-1702 |
| Mailing Address |
555 Northgate Drive #201 Second Floor San Rafael CA 94903-3507 |
| Practice Telephone | 4154996835 |
| Practice Fax Number | 4154996033 |
| Mailing Telephone | 4155267514 |
| Mailing Fax Number | 4154579677 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2019-10-26 |
| Authorized Official Name | LAUREL HILL (VP FAMILY & COMMUNITY SERVICES) |
| Authorized Official Telephone | 4155267500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Other Name | Type Code |
|---|---|
| HAVEN Program | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912431271 | Community Action Marin | Counselor | 3207 Kerner Boulebvard, San Rafael, CA 94901-3507 | 2017-04-13 |
| 1285823617 | Community Action Marin | Contractor | 555 Northgate Dr Ste 201, San Rafael, CA 94903-3696 | 2007-10-22 |
| 1437286879 | Community Action Marin | Case Management | 555 Northgate Blvd., Suite 201, San Rafael, CA 94903 | 2007-02-27 |
| 1730613324 | Community Action Marin | Counselor | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2017-04-20 |
| 1952568347 | Community Action Marin | Counselor | 3230 Kerner Blvd, San Rafael, CA 94901 | 2008-05-22 |
| 1528195963 | Community Action Marin | Case Management | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2007-02-27 |
| 1922134402 | Community Action Marin | Case Management | 3270 Kerner Blvd, Building A, Suite C, San Rafael, CA 94901-4840 | 2007-02-26 |
| 1629104112 | Community Action Marin | Case Management | 3270 Kerner Blvd, Building A, Suite C, San Rafael, CA 94901-4840 | 2007-02-26 |
| 1982749685 | Community Action Marin | Case Management | 3270 Kerner Blvd, Building A, San Rafael, CA 94901-4840 | 2007-02-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY ACTION MARIN | 555 Northgate Dr Ste 201, San Rafael, CA 94903-3696 |
| Street Address |
250 BON AIR RD |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021738 | Marin Community Clinic | Clinic/Center | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2005-05-27 |
| 1588270474 | Jonathan Nguyen Trinh | Pharmacist | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2020-09-16 |
| 1437768082 | Maritza Saucedo Rosas | Registered Nurse | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2020-07-29 |
| 1093323669 | Caroline Kent | Social Worker | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2020-07-20 |
| 1275152415 | Lokyan Yu | Registered Nurse | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2020-04-08 |
| 1144852591 | Lana Mccutchan | Registered Nurse | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2020-02-04 |
| 1295381747 | Melissa Bermudez Rivers | Rehabilitation Practitioner | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2019-08-12 |
| 1245884873 | William Horton IIi | Counselor | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2019-07-31 |
| 1336705540 | Maneesha Priya Deo | Pharmacist | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2019-05-13 |
| 1922564624 | Signy Marie Toquinto | Nurse Practitioner | 250 Bon Air Rd, Greenbrae, CA 94904-1784 | 2019-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528195963 | Community Action Marin | Case Management | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687627 | Rosa Blue Hospice . Inc | Case Management | 6400 E Washington Blvd # 101, Commerce, CA 90040-1820 | 2020-10-21 |
| 1336747013 | Advanced Healthcare Administration | Case Management | 124 N Tustin Ave, Anaheim, CA 92807-2764 | 2020-10-14 |
| 1760080691 | Primocare, LLC | Case Management | 1 Embarcadero Ctr Ste 400, San Francisco, CA 94111-3619 | 2020-10-13 |
| 1184222044 | Shs Senior Care Los Angeles Inc | Case Management | 8939 S Sepulveda Blvd Ste 350, Los Angeles, CA 90045-3657 | 2020-10-13 |
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1407463961 | Helping Hands Inspire Happy Hearts, LLC | Case Management | 7083 Hollywood Blvd Ste 4069, Los Angeles, CA 90028-8901 | 2020-09-29 |
| 1487272688 | Caring About Lives | Case Management | 4197 4th Ave, Los Angeles, CA 90008-3901 | 2020-07-14 |
| 1679191977 | Modiv Health LLC. | Case Management | 1195 Linda Vista Dr Ste H, San Marcos, CA 92078-3824 | 2020-07-13 |
| 1104442805 | Tanya &steve Professional Services Inc | Case Management | 11123 Lemay St, North Hollywood, CA 91606-2008 | 2020-06-18 |
| 1740805100 | Dhruv Manchala | Case Management | 13970 Albar Ct, Saratoga, CA 95070-9718 | 2020-06-11 |
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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.