Organization
MARIN DERMATOLOGY ASSOCIATES
Active
Organization
MARIN DERMATOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANYA E BANDT M.D. (PRESIDENT)
(415) 259-0131
Entity
Organization
Contact information
Practice address
1660 2ND ST, SAN RAFAEL, CA 94901-2707
(415) 259-0131
(415) 259-0133
Mailing address
1310 COMMERCE ST, SUITE B, PETALUMA, CA 94954-1469
(707) 778-7862
(707) 778-0969
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A65186
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A65186
CA
207ND0900X
Dermatopathology Physician
A65186
CA
207NS0135X
Procedural Dermatology Physician
A65186
CA
Other
Enumeration date
04/16/2009
Last updated
03/10/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up