| Marin Hospitalist Medical Group, Inc. | |
|
250 Bon Air Rd 3rd Floor Greenbrae CA 94904-1702 | |
| (415) 925-7545 | |
| (415) 925-7008 |
| Full Name | Marin Hospitalist Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 250 Bon Air Rd, Greenbrae, California |
| Authorized Official Name and Position | Douglas Cohen (CEO) |
| Authorized Official Contact | 4155188115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marin Hospitalist Medical Group, Inc. 336 Bon Air Center #427 Greenbrae CA 94904 Ph: (415) 925-7545 | Marin Hospitalist Medical Group, Inc. 250 Bon Air Rd 3rd Floor Greenbrae CA 94904-1702 Ph: (415) 925-7545 |
| NPI Number | 1023041753 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 08/19/2020 |
| Medicare PECOS PAC ID | 1456257146 |
|---|---|
| Medicare Enrollment ID | O20031211001139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023041753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G73589 (California) | Primary |
| Provider Name | Gordon Jeremy Juriansz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023151735 PECOS PAC ID: 8224938451 Enrollment ID: I20040112000596 |
| Provider Name | Katherine Elaine Schmidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023126711 PECOS PAC ID: 0042111007 Enrollment ID: I20040114000368 |
| Provider Name | Doris S Purcell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992725139 PECOS PAC ID: 9739076506 Enrollment ID: I20040304000605 |
| Provider Name | Andrea A Ngo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699863464 PECOS PAC ID: 3173414786 Enrollment ID: I20040323001057 |
| Provider Name | Michael K Vaughan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295841955 PECOS PAC ID: 6709875164 Enrollment ID: I20040510001698 |
| Provider Name | Alan H Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992884647 PECOS PAC ID: 9739163544 Enrollment ID: I20040617000672 |
| Provider Name | Susan Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164470696 PECOS PAC ID: 8123004041 Enrollment ID: I20040629001316 |
| Provider Name | Donna M Defreitas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457331498 PECOS PAC ID: 9335128925 Enrollment ID: I20040716000877 |
| Provider Name | Douglas E Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932127248 PECOS PAC ID: 6406805670 Enrollment ID: I20050114000398 |
| Provider Name | Jason Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215000823 PECOS PAC ID: 1052362472 Enrollment ID: I20050202001125 |
| Provider Name | Philippe T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821160573 PECOS PAC ID: 2668456120 Enrollment ID: I20051109000641 |
| Provider Name | Sarita Satpathy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124051552 PECOS PAC ID: 7911928239 Enrollment ID: I20051214000928 |
| Provider Name | Curtis K Roebken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528042348 PECOS PAC ID: 4880602937 Enrollment ID: I20060330000560 |
| Provider Name | Edwin Yuen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003840679 PECOS PAC ID: 9638130941 Enrollment ID: I20060404000451 |
| Provider Name | Samuel E Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497785034 PECOS PAC ID: 6002856325 Enrollment ID: I20070118000110 |
| Provider Name | Elizaveta Shostakovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710037528 PECOS PAC ID: 7012011000 Enrollment ID: I20070330000597 |
| Provider Name | Felicia Sapp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629119102 PECOS PAC ID: 5294638987 Enrollment ID: I20070411000574 |
| Provider Name | Aida Calvillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225031727 PECOS PAC ID: 7517066756 Enrollment ID: I20070628000344 |
| Provider Name | Tony D Veletto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205940228 PECOS PAC ID: 3971698762 Enrollment ID: I20071009000627 |
| Provider Name | Hakima A Schulz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639276595 PECOS PAC ID: 7113015389 Enrollment ID: I20071121000600 |
| Provider Name | Hima B Satyavolu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306037601 PECOS PAC ID: 5799865440 Enrollment ID: I20080107000812 |
| Provider Name | Denis J Glenn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053492199 PECOS PAC ID: 1456436468 Enrollment ID: I20080313000727 |
| Provider Name | Mickie H Cheng |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053581306 PECOS PAC ID: 9638248578 Enrollment ID: I20080519000771 |
| Provider Name | Michael K Kwok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124119235 PECOS PAC ID: 5294893327 Enrollment ID: I20081018000163 |
| Provider Name | William Michael Mundy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336341825 PECOS PAC ID: 3375641368 Enrollment ID: I20090211000815 |
| Provider Name | Francis X Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295812204 PECOS PAC ID: 8325013592 Enrollment ID: I20090310000459 |
| Provider Name | Son L Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114119526 PECOS PAC ID: 8921155227 Enrollment ID: I20090402000124 |
| Provider Name | Naira R Sanoyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386614394 PECOS PAC ID: 7618909656 Enrollment ID: I20090403000152 |
| Provider Name | Jamison D Feramisco |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1043410871 PECOS PAC ID: 4688724602 Enrollment ID: I20090615000077 |
| Provider Name | Yin M Thwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033357033 PECOS PAC ID: 3870646599 Enrollment ID: I20090728000843 |
| Provider Name | Navneet Attri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407021918 PECOS PAC ID: 6204989726 Enrollment ID: I20090731000252 |
| Provider Name | John Cranshaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265514236 PECOS PAC ID: 0941252191 Enrollment ID: I20090731000424 |
| Provider Name | Susan Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871685578 PECOS PAC ID: 5395637904 Enrollment ID: I20090825000767 |
| Provider Name | Mary Caroline Yager |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801059902 PECOS PAC ID: 1052457546 Enrollment ID: I20091014000486 |
| Provider Name | Anjuli Basu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679583579 PECOS PAC ID: 9830236421 Enrollment ID: I20091030000527 |
| Provider Name | Michelle N Bourke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750533881 PECOS PAC ID: 8022156942 Enrollment ID: I20091113000512 |
| Provider Name | Chandra Duggirala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255592408 PECOS PAC ID: 9931263720 Enrollment ID: I20091201000337 |
| Provider Name | Kerry L Davidson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063430106 PECOS PAC ID: 5890825426 Enrollment ID: I20100609000097 |
| Provider Name | Thato Y Brumwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750311494 PECOS PAC ID: 3476524083 Enrollment ID: I20100712000519 |
| Provider Name | Mary Rose L Fabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740489798 PECOS PAC ID: 2466640230 Enrollment ID: I20101221000119 |
| Provider Name | Mohini Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609106715 PECOS PAC ID: 7810176260 Enrollment ID: I20110201000211 |
| Provider Name | Patrick L Bui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619278108 PECOS PAC ID: 2567648512 Enrollment ID: I20110509000880 |
| Provider Name | Azita Taghavy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295980431 PECOS PAC ID: 1850560236 Enrollment ID: I20110802000375 |
| Provider Name | Alexander B Geng |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790066090 PECOS PAC ID: 3173799616 Enrollment ID: I20120104000359 |
| Provider Name | Ray B Brindley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871528992 PECOS PAC ID: 6709044324 Enrollment ID: I20120228000245 |
| Provider Name | Neha R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710183132 PECOS PAC ID: 5395921621 Enrollment ID: I20120530000432 |
| Provider Name | Anucheat Chea |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952663635 PECOS PAC ID: 5890951123 Enrollment ID: I20120731000632 |
| Provider Name | Soidjon D. Khodjaev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629313572 PECOS PAC ID: 7719122688 Enrollment ID: I20130325000248 |
| Provider Name | Selamawit Tarekegn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134362387 PECOS PAC ID: 4981841376 Enrollment ID: I20130819000103 |
| Provider Name | Robert M Matz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558503086 PECOS PAC ID: 3870735061 Enrollment ID: I20130819000409 |
| Provider Name | David O Andino-nieves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639515638 PECOS PAC ID: 7315172707 Enrollment ID: I20131018001463 |
| Provider Name | Zakiat Nur-darojat Jalilvand |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548532658 PECOS PAC ID: 7315184058 Enrollment ID: I20140206001665 |
| Provider Name | Huynh Cao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720238249 PECOS PAC ID: 1850514217 Enrollment ID: I20140603002305 |
| Provider Name | Mary K Moreno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033420252 PECOS PAC ID: 4486882057 Enrollment ID: I20140723001295 |
| Provider Name | Jacob Richard Adams |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558595090 PECOS PAC ID: 6103043765 Enrollment ID: I20140806000628 |
| Provider Name | Dayana O Carcamo Molina |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417119827 PECOS PAC ID: 7810115003 Enrollment ID: I20140829002043 |
| Provider Name | Harith H Al Shuwaykh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053604918 PECOS PAC ID: 9032337167 Enrollment ID: I20140902001275 |
| Provider Name | Brian R Apter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134418171 PECOS PAC ID: 8426270190 Enrollment ID: I20141112002564 |
| Provider Name | Nicole Kaipust |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023276144 PECOS PAC ID: 2860716974 Enrollment ID: I20150121000001 |
| Provider Name | Duong Le |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497191738 PECOS PAC ID: 7810212651 Enrollment ID: I20150219000055 |
| Provider Name | Anindita Chakrabarti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649446345 PECOS PAC ID: 3375711500 Enrollment ID: I20150314000005 |
| Provider Name | Dinah M Bukowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639261530 PECOS PAC ID: 6406742378 Enrollment ID: I20150428001462 |
| Provider Name | Robert Eldabaje |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609211176 PECOS PAC ID: 6608188115 Enrollment ID: I20150710001881 |
| Provider Name | Pushwaz Virk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477829133 PECOS PAC ID: 0244477826 Enrollment ID: I20150730011145 |
| Provider Name | Adedotun Ademijulo Adewusi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679795280 PECOS PAC ID: 1355401910 Enrollment ID: I20160328001713 |
| Provider Name | Ranvir S Dhillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467610170 PECOS PAC ID: 1153622907 Enrollment ID: I20160602002357 |
| Provider Name | Janet Y Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336439777 PECOS PAC ID: 5294975371 Enrollment ID: I20160901000789 |
| Provider Name | Roshanak Najibi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710326087 PECOS PAC ID: 7214225481 Enrollment ID: I20161004002509 |
| Provider Name | Faraz N Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447664966 PECOS PAC ID: 5395016752 Enrollment ID: I20170802003164 |
| Provider Name | Reena Mahajan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457519910 PECOS PAC ID: 5698067411 Enrollment ID: I20171114002016 |
| Provider Name | Joy J Victor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477842201 PECOS PAC ID: 7214158468 Enrollment ID: I20180320002486 |
| Provider Name | Priscilla Navarro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801027628 PECOS PAC ID: 9436303179 Enrollment ID: I20180612002788 |
| Provider Name | Waldo James Dittmar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588050934 PECOS PAC ID: 0345594370 Enrollment ID: I20181110000418 |
| Provider Name | Anita Abhyankar Corradetti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952695207 PECOS PAC ID: 5698995983 Enrollment ID: I20190920002479 |
| Provider Name | Yixi Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457709800 PECOS PAC ID: 4284929852 Enrollment ID: I20200219001372 |
| Provider Name | Vatsal Gitesh Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508398355 PECOS PAC ID: 8224457577 Enrollment ID: I20201006001478 |
| Provider Name | Christopher Sungmin Choo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063946267 PECOS PAC ID: 9931526274 Enrollment ID: I20210201001322 |
| Provider Name | Esme B Cullen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396109310 PECOS PAC ID: 7719236108 Enrollment ID: I20210525002654 |
| Provider Name | Aaron Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184120792 PECOS PAC ID: 7416351432 Enrollment ID: I20210812000658 |
| Provider Name | Sangye T Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427364900 PECOS PAC ID: 7719113216 Enrollment ID: I20210913002835 |
| Provider Name | Prabhat Shrestha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629573365 PECOS PAC ID: 9638413909 Enrollment ID: I20211006001918 |
| Provider Name | Mohammad Alghussein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255780185 PECOS PAC ID: 6608127980 Enrollment ID: I20230126001026 |
| Provider Name | Kavon Javaherian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134689227 PECOS PAC ID: 1355742933 Enrollment ID: I20230216002972 |
| Provider Name | Prithvi Pande |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134746670 PECOS PAC ID: 8224497243 Enrollment ID: I20230707002934 |
| Provider Name | Erik P Dove |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164058293 PECOS PAC ID: 0648680447 Enrollment ID: I20230822003418 |
| Provider Name | Sarah Rikleen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679008296 PECOS PAC ID: 3870862089 Enrollment ID: I20240305002391 |
| Provider Name | Tejas N Sangoi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417416256 PECOS PAC ID: 8820322076 Enrollment ID: I20240529001068 |
Marin Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Bon Air Rd, Greenbrae, CA 94904 Phone: 415-448-1500 Fax: 415-461-4229 | |
Martin L. Rossman, M.d., A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1341 S Eliseo Dr, Suite 350, Greenbrae, CA 94904 Phone: 415-925-8600 Fax: 415-925-8604 | |
First Med Marin Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 S Eliseo Dr Ste 202, Greenbrae, CA 94904 Phone: 415-461-3500 Fax: 415-461-3891 | |
Marin Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1341 S Eliseo Dr, Suite 200, Greenbrae, CA 94904 Phone: 415-464-8169 Fax: 415-464-8177 | |
Susan Nguyen Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 Bon Air Rd, Greenbrae, CA 94904 Phone: 415-509-1573 | |
Marin Endocrine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 S Eliseo Dr, Suite 201, Greenbrae, CA 94904 Phone: 415-461-1780 Fax: 415-461-7378 |