PRIMA MEDICAL FOUNDATION (NPI# 1902187560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902187560 |
| Entity Type | Organization |
| Organization Name | PRIMA MEDICAL FOUNDATION |
| Practice Address |
651 1st St W Suite K Sonoma CA 95476-7045 |
| Mailing Address |
4 Hamilton Lndg Suite100 Novato CA 94949-8256 |
| Practice Telephone | 7079383870 |
| Mailing Telephone | 4158841874 |
| Mailing Fax Number | 4158837127 |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2012-08-08 |
| Authorized Official Name | MR. JOEL A. CRISTE (CEO) |
| Authorized Official Telephone | 4158841840 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRIMA MEDICAL FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | G88678 | CA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | A65187 | CA | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | A85617 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | ZZZ03538Z | 01 |
| 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 |
| 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 |
| 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 |
651 1ST ST W SUITE K |
| City | SONOMA |
| State | CA |
| Zip Code | 95476-7045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184624637 | Brian Martin Sebastian | Internal Medicine | 651 1st St W, Suite H, Sonoma, CA 95476-7045 | 2005-07-27 |
| 1215377635 | Brett James Dupont | Podiatrist | 651 1st St W, Sonoma, CA 95476-7045 | 2013-06-29 |
| 1649551201 | Prima Medical Foundation | Orthopaedic Surgery | 651 1st St W, Suite K, Sonoma, CA 95476-7045 | 2011-09-08 |
| 1083800999 | Scott Vernon Perryman | Surgery | 651 1st St W, Ste K, Sonoma, CA 95476-7045 | 2007-09-25 |
| 1639225220 | Suzannah Leigh Bozzone | Family Medicine | 651 1st St W, Ste H, Sonoma, CA 95476-7045 | 2007-01-26 |
| 1295708675 | Jerome Charles Smith | Pediatrics | 651 1st St W, Suite H, Sonoma, CA 95476-7045 | 2006-02-08 |
| 1942286562 | Michael Abe Brown | Orthopaedic Surgery | 651 1st St W, Ste K, Sonoma, CA 95476-7045 | 2005-12-15 |
| 1740262302 | Geeta K Malik | Family Medicine | 651 1st St W, Suite H, Sonoma, CA 95476-7045 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790325694 | Pacific Forensic Psychology Associates, Inc | Psychologist | 19230 Sonoma Highway, Building 200, Sonoma, CA 95476 | 2020-01-09 |
| 1003315169 | Kevin Mccarthy | Occupational Therapist | 19312 Sonoma Hwy, Ste B Sonoma, Sonoma, CA 95476 | 2018-02-05 |
| 1558895318 | Christy Murphy | Pharmacist | 19205 Sonoma Hwy, Sonoma, CA 95476 | 2017-04-18 |
| 1003355835 | Eric Wilson Garcia | Physical Therapist | 1331 Medical Center Dr, Rohnert Park, CA 95476 | 2017-02-13 |
| 1952759664 | Imgrx Sonoma Inc | Pharmacy | 19270 Sonoma Hwy, Suite A, Sonoma, CA 95476 | 2016-06-03 |
| 1790039121 | Joslyn Metzger | Social Worker | 10270 Sonoma Highway, Sonoma, CA 95476 | 2012-11-07 |
| 1477853182 | Marcy Swiatek Brandner | Counselor | 19343 Sonoma Highway, Sonoma, CA 95476 | 2010-10-27 |
| 1477784890 | Peter G. Meyerhof | Dentist | 684 W. Napa St., Sonoma, CA 95476 | 2009-08-03 |
| 1467692855 | Rebeca Fiske Bailey | Psychologist | 793 First St West, Sonoma, CA 95476 | 2009-02-25 |
| 1306099056 | Hubenette Dental Corporation | Dentist | 660 Third Street West, Sonoma, CA 95476 | 2008-10-28 |
| Find all providers in zip 95476 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053534354 | Sabrina Ann Kidd | Surgery | 462 W Napa St, Sonoma, CA 95476-6519 | 2007-04-11 |
| 1700815305 | Russell Wayne Sawyer | Surgery | 246 Perkins St, Sonoma, CA 95476-6954 | 2006-07-03 |
| 1487163309 | Alexis Alexandridis Md Inc | Surgery | 246 Perkins St, Sonoma, CA 95476-6954 | 2017-09-22 |
| 1952823841 | Whole Health Weight Loss Institute | Surgery | 651 1st St W Ste L, Sonoma, CA 95476-7046 | 2017-07-12 |
| 1083800999 | Scott Vernon Perryman | Surgery | 651 1st St W, Ste K, Sonoma, CA 95476-7045 | 2007-09-25 |
| 1093925182 | Alexis Regina Alexandridis | Surgery | 246 Perkins St, Sonoma, CA 95476-6954 | 2007-05-23 |
| 1770687352 | James Basil Haddad | Surgery | 15000 Arnold Drive, Sonoma, CA 95431-1493 | 2006-09-12 |
| 1396798823 | Keith F. Korver, M.d., Inc. | Surgery | 558 3rd St W, Sonoma, CA 95476-6502 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344321 | Sadeghi Medical Corporation | Surgery | 3871 Piedmont Ave # 105, Oakland, CA 94611-5378 | 2020-10-21 |
| 1295332823 | Vneo Medical Clinic Inc | Surgery | 6817 1/2 Kester Ave, Van Nuys, CA 91405-3716 | 2020-10-06 |
| 1619584497 | Prohealth Partners A Medical Group | Surgery | 3628 E Imperial Hwy Ste 303, Lynwood, CA 90262-2646 | 2020-09-25 |
| 1235744004 | Yvette Speight Md Inc | Surgery | 433 N Doheny Dr, Beverly Hills, CA 90210-5734 | 2020-09-09 |
| 1538786900 | Tdwo Inc | Surgery | 57445 29 Palms Hwy Ste 301, Yucca Valley, CA 92284-2947 | 2020-07-01 |
| 1003439746 | Howard Takiff | Surgery | 760 La Canada St, La Jolla, CA 92037-6724 | 2020-05-27 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1811517667 | John K Colwell | Surgery | 222 Hollywood Ave, Los Gatos, CA 95030 | 2020-04-22 |
| 1295361772 | William Robert Berry | Surgery | 5775 Del Cerro Blvd, San Diego, CA 92120-4513 | 2020-03-17 |
| 1497380638 | Bay Area Medical and Surgical Group, Inc. | Surgery | 490 Post St Ste 530, San Francisco, CA 94102-1412 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
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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.