OrganizationActive
Community Action Marin
NPI 1629104112 · Case Management Agency · San Rafael, CA
Community Action Marin is a Case Management Agency organization in San Rafael, CA (NPI 1629104112).
Provider details
- NPI number
- 1629104112
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Gary Intersimone, Mental Health Fiscal Administrator(415) 526-7500
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
3270 Kerner Blvd
Building A, Suite C
San Rafael, CA 94901-4840
Phone: (415) 457-4554
Fax: (415) 721-2231
Street-level locationGet directions
Mailing address
555 Northgate Drive #201
San Rafael, CA 94903-3507
Other names (DBA / former)
- Other name
- Linda Reed Activities Club
- Other name
- Linda Reed Activities Club
Registry dates
- Enumerated
- 2007-02-26
- Last updated
- 2019-10-26
Frequently asked questions
- What is Community Action Marin's NPI number?
- Community Action Marin's National Provider Identifier (NPI) is 1629104112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community Action Marin?
- Community Action Marin is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Community Action Marin located?
- Community Action Marin's practice location on file with NPPES is 3270 Kerner Blvd, San Rafael, CA 94901-4840.
- What is Community Action Marin's phone number?
- The practice phone number listed in the NPPES registry for Community Action Marin is (415) 457-4554.
- Who is the authorized official for Community Action Marin?
- The authorized official listed on Community Action Marin's NPPES record is Gary Intersimone, Mental Health Fiscal Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community Action Marin's NPI active?
- Yes — Community Action Marin's NPI (1629104112) is active in the NPPES registry as of the last update on 2019-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.