PRIMA MEDICAL FOUNDATION (NPI# 1609157734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609157734 |
| Entity Type | Organization |
| Organization Name | PRIMA MEDICAL FOUNDATION |
| Practice Address |
100 A Drakes Landing Rd Suite 225 Greenbrae CA 94904-3119 |
| Mailing Address |
4 Hamilton Lndg Suite 100 Novato CA 94949-8256 |
| Practice Telephone | 4154617800 |
| Mailing Telephone | 4158841840 |
| Mailing Fax Number | 4158843510 |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2015-07-21 |
| Authorized Official Name | JOANNA RUBEL (SR. DIRECTOR OF PRATICE 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 | 208600000X | Surgery | A65187 | CA | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | ZZZ03538Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
100 A DRAKES LANDING RD SUITE 225 |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-3119 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639353279 | Sujatha Pathi | Obstetrics & Gynecology | 100a Drakes Landing Rd Ste 225, Greenbrae, CA 94904-3119 | 2007-12-18 |
| 1295807022 | Kristen M. Matsik | Obstetrics & Gynecology | 1260 S Eliseo Dr Fl 2, Greenbrae, CA 94904-2009 | 2006-11-15 |
| 1770560997 | Nona Cunningham | Obstetrics & Gynecology | 599 Sir Francis Drake Blvd Ste 202, Greenbrae, CA 94904-1731 | 2005-12-29 |
| 1194702431 | Stephen Ronald Bearg | Obstetrics & Gynecology | 1240 S Eliseo Dr, Suite 201, Greenbrae, CA 94904-2028 | 2005-12-28 |
| 1407203599 | Amanda Marlene Deson | Obstetrics & Gynecology | 100a Drakes Landing Rd Ste 225, Greenbrae, CA 94904-3119 | 2016-05-18 |
| 1750627071 | Nona M Cunningham Md Inc | Obstetrics & Gynecology | 599 Sir Francis Drake Blvd, Suite 202, Greenbrae, CA 94904-1712 | 2012-12-13 |
| 1215281019 | Elizabeth Brown | Obstetrics & Gynecology | 100 Drakes Landing Rd # A, Suite 225, Greenbrae, CA 94904-2404 | 2012-10-31 |
| 1912276007 | Lizellen La Follette Md Inc | Obstetrics & Gynecology | 599 Sir Francis Drake Blvd, Suite 301, Greenbrae, CA 94904-1712 | 2011-12-20 |
| 1245536234 | Jacqueline Sue Dela Merced | Obstetrics & Gynecology | 599 Sir Francis Drake Blvd, Suite 301, Greenbrae, CA 94904-1712 | 2011-02-08 |
| 1922242858 | Alexis April Cardellini | Obstetrics & Gynecology | 100a Drakes Landing Rd Ste 225, Greenbrae, CA 94904-3119 | 2009-04-22 |
| Find all providers in GREENBRAE | ||||
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| 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.