PRIMA MEDICAL FOUNDATION NPI 1285898601

NPI Information

  • NPI: 1285898601
  • Provider Name: PRIMA MEDICAL FOUNDATION
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 75 ROWLAND WAY
    SUITE 100
    NOVATO, CA
    ZIP 94945
  • Phone: (415) 897-9664

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NPI Details

PRIMA MEDICAL FOUNDATION is a general practice in Novato, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PRIMA MEDICAL FOUNDATION NPI is 1285898601. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

75 ROWLAND WAY
SUITE 100
NOVATO, CA
ZIP 94945
Phone: (415) 897-9664
Fax: (415) 897-2446

The provider's authorized official is Joel A. Criste .
The authorized official title is Ceo and has the following contact phone number (415) 884-1840.

The enumeration date for this NPI number is 7/15/2008 and was last updated on 8/14/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryA65187CALIFORNIANo
2208D00000XGeneral PracticeNo
3208000000XPediatricsG55637CALIFORNIANo
4207RP1001XInternal MedicinePulmonary DiseaseG73388CALIFORNIANo
5208D00000XGeneral PracticeG55637CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1222035382MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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