PRIMA MEDICAL GROUP – NPI #1902244528
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 is a provider located in SEBASTOPOL, CA. NPPES has assigned the NPI number 1902244528 to PRIMA MEDICAL GROUP on June 05, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PRIMA MEDICAL GROUP” is a dba name, the actual legal business name for this organization is PRIMA MEDICAL FOUNDATION. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

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 below.

NPI Profile for
PRIMA MEDICAL FOUNDATION

NPI Number
1902244528
Enumeration Date

(more than 13 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
Doing Business As (dba): PRIMA MEDICAL GROUP
Primary location
652 PETALUMA AVE
SUITE H
SEBASTOPOL, CA 95472-4256
Phone: (707) 823-7616 Fax: (707) 823-2803
Mailing address
4 HAMILTON LNDG
SUITE 100
NOVATO, CA 94949-8256
Phone: (415) 884-1840 Fax: (415) 883-7127
Organization Subpart
Yes - PRIMA MEDICAL GROUP is subpart of another organization.
Authorized Official
DENNIS MONDRAGON
COO
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)

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.