PRIMA MEDICAL FOUNDATION – NPI #1366606766
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

PRIMA MEDICAL FOUNDATION is a provider located in MILL VALLEY, CA. NPPES has assigned the NPI number 1366606766 to PRIMA MEDICAL FOUNDATION on July 15, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 14 years ago on Aug 31, 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
1366606766
Enumeration Date

(about 18 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
655 REDWOOD HIGHWAY
SUITE 216
MILL VALLEY, CA 94941
Phone: (415) 383-3500 Fax: (415) 383-3554
Mailing address
4 HAMILTON LANDING
SUITE 100
NOVATO, CA 94949
Phone: (415) 884-1840 Fax: (415) 884-3510
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
208000000X
- Pediatrics (Primary)
CA G55637
208D00000X
- General Practice
208600000X
- Surgery
CA A65187

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.