Bayside Marin, Inc.
NPI 1417495623 · Substance Use Disorder Rehabilitation Clinic/Center · San Rafael, CA
Bayside Marin, Inc. is a Substance Use Disorder Rehabilitation Clinic/Center organization in San Rafael, CA (NPI 1417495623).
Provider details
- NPI number
- 1417495623
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brian Farley, Vp and Secretary(615) 861-6000
- License
- 210030CP (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Bayside Marin Outpatient
- Other name
- Bayside Marin Outpatient
Registry dates
- Enumerated
- 2017-02-08
- Last updated
- 2025-12-30
- Certified
- 2025-12-30
Frequently asked questions
- What is Bayside Marin, Inc.'s NPI number?
- Bayside Marin, Inc.'s National Provider Identifier (NPI) is 1417495623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bayside Marin, Inc.?
- Bayside Marin, Inc. is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bayside Marin, Inc. located?
- Bayside Marin, Inc.'s practice location on file with NPPES is 718 4th St, San Rafael, CA 94901-3213.
- What is Bayside Marin, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Bayside Marin, Inc. is (415) 450-0031.
- Who is the authorized official for Bayside Marin, Inc.?
- The authorized official listed on Bayside Marin, Inc.'s NPPES record is Brian Farley, Vp and Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bayside Marin, Inc.'s NPI active?
- Yes — Bayside Marin, Inc.'s NPI (1417495623) is active in the NPPES registry as of the last update on 2025-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.