Marin Community Clinic
NPI 1770300543 · Federally Qualified Health Center (FQHC) · San Rafael, CA
Marin Community Clinic is a Federally Qualified Health Center (FQHC) organization in San Rafael, CA (NPI 1770300543).
Provider details
- NPI number
- 1770300543
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Farhan Fadoo, Chief Executive Officer(415) 755-2581
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
1 yr 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
- Huckleberry Youth Program
Registry dates
- Enumerated
- 2024-09-24
- Last updated
- 2024-09-24
- Certified
- 2024-09-23
Frequently asked questions
- What is Marin Community Clinic's NPI number?
- Marin Community Clinic's National Provider Identifier (NPI) is 1770300543, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marin Community Clinic?
- Marin Community Clinic is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Marin Community Clinic located?
- Marin Community Clinic's practice location on file with NPPES is 361 3rd St Ste G, San Rafael, CA 94901-3580.
- What is Marin Community Clinic's phone number?
- The practice phone number listed in the NPPES registry for Marin Community Clinic is (415) 258-4944.
- Who is the authorized official for Marin Community Clinic?
- The authorized official listed on Marin Community Clinic's NPPES record is Farhan Fadoo, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marin Community Clinic's NPI active?
- Yes — Marin Community Clinic's NPI (1770300543) is active in the NPPES registry as of the last update on 2024-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.