PRIMA MEDICAL FOUNDATION – NPI #1811217946
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

PRIMA MEDICAL FOUNDATION is an AHC clinic located in NOVATO, CA. NPPES has assigned the NPI number 1811217946 to PRIMA MEDICAL FOUNDATION on June 11, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 14 years ago on Aug 14, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIMA MEDICAL FOUNDATION below.

NPI Profile for
PRIMA MEDICAL FOUNDATION

NPI Number
1811217946
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIMA MEDICAL FOUNDATION
Primary location
4 HAMILTON LANDING
SUITE 100
NOVATO, CA 94949
Phone: (415) 884-1840 Fax: (415) 884-3510
Mailing address
Same as primary location
Organization Subpart
Yes - PRIMA MEDICAL FOUNDATION is subpart of another organization.
Authorized Official
JOEL CRISTE
CEO
Phone: (415) 884-1840
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.