POINT REYES MEDICAL CLINIC – NPI #1073904025
Clinic/Center

POINT REYES MEDICAL CLINIC is an AHC clinic located in SAN GERONIMO, CA. NPPES has assigned the NPI number 1073904025 to POINT REYES MEDICAL CLINIC on February 12, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “POINT REYES MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is COASTAL HEALTH ALLIANCE. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

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 POINT REYES MEDICAL CLINIC below.

NPI Profile for
COASTAL HEALTH ALLIANCE

NPI Number
1073904025
Enumeration Date

(more than 11 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
COASTAL HEALTH ALLIANCE
Doing Business As (dba): POINT REYES MEDICAL CLINIC
Primary location
6350 SIR FRANCIS DRAKE BLVD.
SAN GERONIMO, CA 94963
Phone: (415) 663-8666 Fax: (415) 663-9532
Mailing address
PO BOX 910
POINT REYES STATION, CA 94956-0910
Phone: (415) 663-8781 Fax: (415) 663-9632
Organization Subpart
No
Authorized Official
STEVEN SIEGEL
EXECUTIVE DIRECTOR
Phone: (415) 663-8781
Updated
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
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)		 CA

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.