PRIMA MEDICAL GROUP-TERRA LINDA – NPI #1730463258
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

PRIMA MEDICAL GROUP-TERRA LINDA is a provider located in SAN RAFAEL, CA. NPPES has assigned the NPI number 1730463258 to PRIMA MEDICAL GROUP-TERRA LINDA on October 03, 2011. 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 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

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 GROUP-TERRA LINDA below.

NPI Profile for
PRIMA MEDICAL GROUP-TERRA LINDA

NPI Number
1730463258
Enumeration Date

(more than 14 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 GROUP-TERRA LINDA
Primary location
4000 CIVIC CENTER DRIVE
SUITE 200B
SAN RAFAEL, CA 94903
Phone: (415) 492-3333 Fax: (415) 492-3425
Mailing address
4 HAMILTON LANDING
SUITE 100
NOVATO, CA 94949
Phone: (415) 884-1840 Fax: (415) 884-3510
Organization Subpart
Yes - PRIMA MEDICAL GROUP-TERRA LINDA 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
208D00000X
- General Practice (Primary)		 CA G73451
261QM1300X
- Clinic/Center / Multi-Specialty		 CA G55637

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.