PRIMA MEDICAL FOUNDATION – NPI #1740444157
General Practice

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

PRIMA MEDICAL FOUNDATION is a provider located in SAUSALITO, CA. NPPES has assigned the NPI number 1740444157 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 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 FOUNDATION below.

NPI Profile for
PRIMA MEDICAL FOUNDATION

NPI Number
1740444157
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
3 HARBOR DRIVE
SUITE 111
SAUSALITO, CA 94965
Phone: (415) 683-2988 Fax: (415) 683-2980
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
208D00000X
- General Practice (Primary)
208600000X
- Surgery
CA A65187
208000000X
- Pediatrics
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.