PRIMA MEDICAL FOUNDATION (NPI# 1396909735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396909735 |
| Entity Type | Organization |
| Organization Name | PRIMA MEDICAL FOUNDATION |
| Other Organization Name | URGENT CARE PEDIATRIC AFTER HOURS |
| Practice Address |
1260 S. Eliseo Dr Floor 2 Greenbrae CA 94904-2009 |
| Mailing Address |
4 Hamilton Landing Suite 100 Novato CA 94949 |
| Practice Telephone | 4159241214 |
| Mailing Telephone | 4158841840 |
| Mailing Fax Number | 4158843510 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2015-07-18 |
| Authorized Official Name | JOANNA RUBEL (SR. DIRECTOR OF PRACTICE OPERATIONS) |
| Authorized Official Telephone | 4158425103 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRIMA MEDICAL FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | G55637 | CA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | A65187 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | A42149 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | ZZZ03538Z | 01 |
| Other Name | Type Code |
|---|---|
| Urgent Care Pediatric After Hours | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609157734 | Prima Medical Foundation | Surgery | 100 A Drakes Landing Rd, Suite 225, Greenbrae, CA 94904-3119 | 2011-09-02 |
| 1811217946 | Prima Medical Foundation | Clinic/Center | 4 Hamilton Landing, Suite 100, Novato, CA 94949 | 2010-06-11 |
| 1437313863 | Prima Medical Foundation | General Practice | 651 1st Street West, Suite H, Sonoma, CA 95476 | 2008-07-15 |
| 1548258106 | Prima Medical Foundation | General Practice | 1260 S Eliseo Dr, Floor 2, Greenbrae, CA 94904-2009 | 2005-10-07 |
| 1033503446 | Prima Medical Foundation | Obstetrics & Gynecology | 75 Rowland Way, Suite 275, Novato, CA 94945-5037 | 2015-03-24 |
| 1902244528 | Prima Medical Foundation | General Practice | 652 Petaluma Ave, Suite H, Sebastopol, CA 95472-4256 | 2013-06-05 |
| 1902187560 | Prima Medical Foundation | Orthopaedic Surgery | 651 1st St W, Suite K, Sonoma, CA 95476-7045 | 2011-09-08 |
| 1649551201 | Prima Medical Foundation | Orthopaedic Surgery | 651 1st St W, Suite K, Sonoma, CA 95476-7045 | 2011-09-08 |
| 1548541105 | Prima Medical Foundation | Surgery | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2011-09-08 |
| 1639450299 | Prima Medical Foundation | Internal Medicine | 75 Rowland Way, #100, Novato, CA 94945-5037 | 2011-09-08 |
| Street Address |
1260 S. ELISEO DR FLOOR 2 |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-2009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114090396 | Jane Marten Meill | Pediatrics | 1100 South Eliseo Dr, Ste #106, Greenbrae, CA 94904 | 2006-11-16 |
| 1982861746 | Samantha Anne Goldstein Kamras | Pediatrics | 250 Bon Air Rd, Marin Community Clinics, Greenbrae, CA 94904-1702 | 2008-05-20 |
| 1518173400 | Elizabeth Claire Nadiv | Pediatrics | 250 Bon Air Road, M691, Greenbrae, CA 94904 | 2007-05-15 |
| 1083743033 | Kathryn Sexton, M.d., Martin Joffe, M.d. & Katrina Urbach, M.d, Medic | Pediatrics | 1000 S Eliseo Drive, Suite 1a, Greenbrae, CA 94904-2133 | 2007-03-05 |
| 1588706543 | Marin Pediatric Associates, A Medical Corporation | Pediatrics | 1100 S Eliseo Dr, Ste 106, Greenbrae, CA 94904-2017 | 2007-02-13 |
| 1205981586 | Michelle Dominique Perro | Pediatrics | 1350 S Eliseo Dr, Suite 120, Greenbrae, CA 94904-2011 | 2007-01-24 |
| 1508922139 | Donald James Pyskaty Jr. | Pediatrics | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2006-12-28 |
| 1023181203 | Kara Suzanne Ornstein | Pediatrics | 1100 South Eliseo Dr, Ste #106, Greenbrae, CA 94904 | 2006-11-16 |
| 1194802512 | Alice Cantwell Brock-utne | Pediatrics | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2006-11-01 |
| 1669553418 | Andrea Gray | Pediatrics | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2006-10-18 |
| Find all providers in GREENBRAE | ||||
Please comment or provide details below to improve the information on PRIMA MEDICAL FOUNDATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.