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PRIMA MEDICAL FOUNDATION NPI 1396026399


NPI Information

NPI: 1396026399
Provider Name: PRIMA MEDICAL FOUNDATION
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
5 BON AIR RD
#117
LARKSPUR, CA
ZIP 94939
Phone: (415) 924-9770
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PRIMA MEDICAL FOUNDATION is an obstetrics gynecology in Larkspur, CA. The provider is 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. PRIMA MEDICAL FOUNDATION NPI is 1396026399. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5 BON AIR RD
#117
LARKSPUR, CA
ZIP 94939-143
Phone: (415) 924-9770

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 9/2/2011 and was last updated on 8/8/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryA65187CALIFORNIANo
2207V00000XObstetrics & GynecologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1222035382MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
2ZZZ03538ZOTHERCALIFORNIAMEDICARE PTAN

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: 4/28/2024

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