| Marin City Health And Wellness Center | |
|
630 Drake Ave Sausalito CA 94965-1107 | |
| (415) 339-8813 | |
| (415) 339-8814 |
| Full Name | Marin City Health And Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 630 Drake Ave, Sausalito, California |
| Authorized Official Name and Position | Adam Crawford Francis (CMO) |
| Authorized Official Contact | 4153398813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marin City Health And Wellness Center 630 Drake Avenue Sausalito CA 94965-1107 Ph: (415) 339-8813 | Marin City Health And Wellness Center 630 Drake Ave Sausalito CA 94965-1107 Ph: (415) 339-8813 |
| NPI Number | 1285804948 |
|---|---|
| Provider Enumeration Date | 03/08/2008 |
| Last Update Date | 10/15/2021 |
| Certification Date | 10/15/2021 |
| Medicare PECOS PAC ID | 1052451259 |
|---|---|
| Medicare Enrollment ID | O20091221000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285804948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Richard J Leary |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407123904 PECOS PAC ID: 6103075866 Enrollment ID: I20121012000646 |
| Provider Name | Mahedere Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588809651 PECOS PAC ID: 6709001910 Enrollment ID: I20140702000416 |
| Provider Name | Colin Spake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730522475 PECOS PAC ID: 0446470496 Enrollment ID: I20140925002019 |
| Provider Name | Janelle P Green |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871721043 PECOS PAC ID: 5890011688 Enrollment ID: I20150314000011 |
| Provider Name | Adam C Francis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801186648 PECOS PAC ID: 0547490021 Enrollment ID: I20150903002707 |
| Provider Name | Shilpa J Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548677453 PECOS PAC ID: 4587923339 Enrollment ID: I20180124001238 |
| Provider Name | Alma C Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558757799 PECOS PAC ID: 5890035711 Enrollment ID: I20190312003080 |
| Provider Name | Daniel Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134205156 PECOS PAC ID: 2466885678 Enrollment ID: I20191202001654 |
| Provider Name | Roshan Destiny Uranwala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811454531 PECOS PAC ID: 4981038015 Enrollment ID: I20191226001779 |
| Provider Name | Emily E Vishnja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326642034 PECOS PAC ID: 6901210160 Enrollment ID: I20210128002810 |
| Provider Name | Paula Go Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396215943 PECOS PAC ID: 4789092784 Enrollment ID: I20210412001623 |
| Provider Name | John Haupert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235580978 PECOS PAC ID: 0244510576 Enrollment ID: I20210415002751 |
| Provider Name | Andrea Naranjo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609208438 PECOS PAC ID: 1951631175 Enrollment ID: I20210429001533 |
| Provider Name | Brian Kuennemeier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740539832 PECOS PAC ID: 1254737273 Enrollment ID: I20210831000494 |
| Provider Name | Juliana Margaret Morris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750834313 PECOS PAC ID: 5799181137 Enrollment ID: I20210909002032 |
| Provider Name | Michelle Alexandra Rowley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831853746 PECOS PAC ID: 7214320902 Enrollment ID: I20220201001566 |
| Provider Name | Emilia Ebere Anyah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629627120 PECOS PAC ID: 9931594157 Enrollment ID: I20220324001380 |
| Provider Name | Anita R Juvvadi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457325797 PECOS PAC ID: 7214300482 Enrollment ID: I20230309000331 |
| Provider Name | Erin Elizabeth Irvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013547090 PECOS PAC ID: 6305210253 Enrollment ID: I20230316001653 |
Pacific Integrative Wellness Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Cloud View Trl, Sausalito, CA 94965 Phone: 415-231-6100 Fax: 415-231-6345 | |
Yes Health Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Bridgeway Ste A3, Sausalito, CA 94965 Phone: 415-302-3651 | |
Bay Area Pain Medical Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Harbor Dr, Suite 115, Sausalito, CA 94965 Phone: 415-380-0480 | |
Stephen Allison, M.d., A Professional Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3030 Bridgeway Ste 206, Sausalito, CA 94965 Phone: 415-952-3101 Fax: 415-534-3439 | |
Living Well Assisted Living At Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Donahue St, Sausalito, CA 94965 Phone: 800-805-7104 | |
Clinic 4 Kidz Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Cloud View Trl, Sausalito, CA 94965 Phone: 415-332-6066 Fax: 415-332-6068 |