PRIMA MEDICAL FOUNDATION


Address: 1260 S Eliseo Dr, Floor 2, Greenbrae, CA 94904-2009
Phone: 4154617800

PRIMA MEDICAL FOUNDATION (NPI# 1548258106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548258106
Entity Type Organization
Organization Name PRIMA MEDICAL FOUNDATION
Practice Address 1260 S Eliseo Dr
Floor 2
Greenbrae
CA 94904-2009
Mailing Address 9 Commercial Blvd
Suite 200
Novato
CA 94949-6118
Practice Telephone 4154617800
Practice Fax Number 4159241375
Mailing Telephone 4158425000
Enumeration Date 2005-10-07
Last Update Date 2015-08-13
Authorized Official Name JOANNA RUBEL (SR. DIRECTOR OF PRACTICE OPERATIONS)
Authorized Official Telephone 4158425103
Is Organization Subpart Y
Parent Organization Name PRIMA MEDICAL FOUNDATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208D00000X General Practice Allopathic & Osteopathic Physicians
N 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
G88295 CA Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
G45217 CA Allopathic & Osteopathic Physicians
Y 208D00000X General Practice A72388 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICARE ZZZ03538Z 01

Other Provider IDs and Locations

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
1396909735 Prima Medical Foundation Pediatrics 1260 S. Eliseo Dr, Floor 2, Greenbrae, CA 94904-2009 2008-07-15
1437313863 Prima Medical Foundation General Practice 651 1st Street West, Suite H, Sonoma, CA 95476 2008-07-15
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

Office Location

Street Address 1260 S ELISEO DR
FLOOR 2
City GREENBRAE
State CA
Zip Code 94904-2009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477892099 Marin Magnetic Resonance Imaging Center, LLC Clinic/Center 1260 S Eliseo Dr, Suite 101, Greenbrae, CA 94904-2009 2013-02-01
1386956498 Robin Litt Nurse Practitioner 1260 S Eliseo Dr, Greenbrae, CA 94904-2009 2010-07-06
1588815534 Mary Newberry Davis Advanced Practice Midwife 1260 S Eliseo Dr, Floor 2, Greenbrae, CA 94904-2009 2008-10-08
1053587667 Cortney Harper Obstetrics & Gynecology 1260 S Eliseo Dr, Floor 2, Greenbrae, CA 94904-2009 2008-05-03
1528230570 Prima Medical Group, Inc. Non-Pharmacy Dispensing Site 1260 S Eliseo Dr, Greenbrae, CA 94904-2009 2008-03-31
1285730275 Gerald P Wilner Obstetrics & Gynecology 1260 S Eliseo Dr, Floor 2, Greenbrae, CA 94904-2009 2006-09-16
1790795599 Women's Medical Associates Obstetrics & Gynecology 1260 S Eliseo Dr, Greenbrae, CA 94904-2009 2006-08-08
1154392637 David B. Galland Obstetrics & Gynecology 1260 S Eliseo Dr, Floor 2, Greenbrae, CA 94904-2009 2006-01-31
1770553950 Brian E Demuth Obstetrics & Gynecology 1260 S Eliseo Dr, Floor 2, Greenbrae, CA 94904-2009 2006-01-23
1720065949 Monica Lopez Obstetrics & Gynecology 1260 S Eliseo Dr, Greenbrae, CA 94904-2009 2005-12-29
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336312370 Robert F. Shaw General Practice 336 Bon Air Ctr # 407, Greenbrae, CA 94904-3017 2008-04-10
1235238791 Martin Lester Rossman General Practice 1341 S Eliseo Dr Ste 350, Greenbrae, CA 94904-2000 2006-09-21
1124310636 Martin L. Rossman, M.d., A Professional Corporation General Practice 1341 S Eliseo Dr, Suite 350, Greenbrae, CA 94904-2000 2011-05-03
1013031913 Janet Bodle General Practice 100a Drake's Landing Road, Suite 225, Greenbrae, CA 94904-3032 2007-03-17
1255447330 James Conrad Gardner General Practice 599 Sir Francis Drake Blvd, Ste. # 203, Greenbrae, CA 94904-1712 2006-08-22
1982666764 Flash Gordon General Practice 1000 S Eliseo Dr, Ste 204, Greenbrae, CA 94904-2133 2006-04-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851992986 Lindsay Fry General Practice 375 Bonair St Apt 1, La Jolla, CA 92037-5911 2020-11-04
1255939674 Kiira Health Practice Ca PC General Practice 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 2020-10-16
1851999627 Golden State Medical Center PC General Practice 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 2020-10-14
1598362709 Afua Takyi General Practice 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 2020-10-01
1316553530 Kimberly Ann Callaway General Practice 4893 Drakewood Ter, San Diego, CA 92130-1406 2020-09-22
1376156109 Gtl Medical Group Inc General Practice 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 2020-08-31
1922611896 Daniel Lynn Johnson General Practice 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 2020-08-28
1235755299 Hofmeister Medical, PC General Practice 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 2020-06-24
1033733779 South Bay Regenerative Medical Spa Inc General Practice 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 2020-05-28
1568085041 Integrated Advanced Medicine Inc General Practice 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 2020-05-19
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Competitor

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City GREENBRAE
Zip Code 94904

Improve Information

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Dataset Information

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.

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