MARIN ADVANCED WOUND CENTER PC – NPI #1538652003
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

MARIN ADVANCED WOUND CENTER PC is an AHC clinic located in NOVATO, CA. NPPES has assigned the NPI number 1538652003 to MARIN ADVANCED WOUND CENTER PC on June 10, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 6 years ago on Dec 17, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARIN ADVANCED WOUND CENTER PC below.

NPI Profile for
MARIN ADVANCED WOUND CENTER PC

NPI Number
1538652003
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARIN ADVANCED WOUND CENTER PC
Primary location
165 ROWLAND WAY STE 208
NOVATO, CA 94945-5055
Phone: (415) 680-0871 Fax: (800) 808-1779
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALEXANDER REYZELMAN
AUTHORIZED OFFICIAL
Phone: (925) 336-6062
Updated
Certification Date
Dec 17, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)		 CA G59522

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.