Preventive Medical Center of Marin Inc
NPI 1912067828 · Primary Care Clinic/Center · San Rafael, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Preventive Medical Center of Marin Inc is a Primary Care Clinic/Center organization in San Rafael, CA (NPI 1912067828).
Provider details
- NPI number
- 1912067828
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Elson Haas, Owner Medical Director(415) 472-2343
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
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
Mailing address
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2023-09-29
- Certified
- 2023-09-29
Frequently asked questions
- What is Preventive Medical Center of Marin Inc's NPI number?
- Preventive Medical Center of Marin Inc's National Provider Identifier (NPI) is 1912067828, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Preventive Medical Center of Marin Inc?
- Preventive Medical Center of Marin Inc is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Preventive Medical Center of Marin Inc located?
- Preventive Medical Center of Marin Inc's practice location on file with NPPES is 4340 Redwood Hwy Ste Aa, San Rafael, CA 94903-2121.
- What is Preventive Medical Center of Marin Inc's phone number?
- The practice phone number listed in the NPPES registry for Preventive Medical Center of Marin Inc is (415) 472-2343.
- Does Preventive Medical Center of Marin Inc accept Medicare?
- Preventive Medical Center of Marin Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Preventive Medical Center of Marin Inc?
- The authorized official listed on Preventive Medical Center of Marin Inc's NPPES record is Elson Haas, Owner Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Preventive Medical Center of Marin Inc's NPI active?
- Yes — Preventive Medical Center of Marin Inc's NPI (1912067828) is active in the NPPES registry as of the last update on 2023-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.