OrganizationActive
Pine Street Clinic LLC
NPI 1801194303 · Acupuncturist · San Anselmo, CA
Pine Street Clinic LLC is a Acupuncturist organization in San Anselmo, CA (NPI 1801194303).
Provider details
- NPI number
- 1801194303
- Entity type
- Organization
- Primary specialty
- AcupuncturistOther Service Providers
- Organization subpart
- No
- Authorized official
- Michael Broffman, Member(415) 485-0484
- License
- 1140 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
124 Pine St
San Anselmo, CA 94960-2602
Phone: (415) 485-0484
Street-level locationGet directions
Mailing address
124 Pine St
San Anselmo, CA 94960-2602
Registry dates
- Enumerated
- 2011-03-08
- Last updated
- 2011-03-08
Frequently asked questions
- What is Pine Street Clinic LLC's NPI number?
- Pine Street Clinic LLC's National Provider Identifier (NPI) is 1801194303, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Street Clinic LLC?
- Pine Street Clinic LLC is classified in the NPPES registry as Acupuncturist (Other Service Providers).
- Where is Pine Street Clinic LLC located?
- Pine Street Clinic LLC's practice location on file with NPPES is 124 Pine St, San Anselmo, CA 94960-2602.
- What is Pine Street Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Pine Street Clinic LLC is (415) 485-0484.
- Who is the authorized official for Pine Street Clinic LLC?
- The authorized official listed on Pine Street Clinic LLC's NPPES record is Michael Broffman, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Street Clinic LLC's NPI active?
- Yes — Pine Street Clinic LLC's NPI (1801194303) is active in the NPPES registry as of the last update on 2011-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.