PRIMA MEDICAL FOUNDATION NPI 1548258106

NPI Information

  • NPI: 1548258106
  • Provider Name: PRIMA MEDICAL FOUNDATION
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 1260 S ELISEO DR
    FLOOR 2
    GREENBRAE, CA
    ZIP 94904
  • Phone: (415) 461-7800

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NPI Details

PRIMA MEDICAL FOUNDATION is a general practice in Greenbrae, 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 1548258106. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1260 S ELISEO DR
FLOOR 2
GREENBRAE, CA
ZIP 94904-009
Phone: (415) 461-7800
Fax: (415) 924-1375

The provider's authorized official is Joanna Rubel .
The authorized official title is Sr. Director Of Practice Operations and has the following contact phone number (415) 842-5103.

The enumeration date for this NPI number is 10/7/2005 and was last updated on 8/13/2015.

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
1208D00000XGeneral PracticeNo
2207RI0011XInternal MedicineInterventional CardiologyG88295CALIFORNIANo
3207RP1001XInternal MedicinePulmonary DiseaseG45217CALIFORNIANo
4208D00000XGeneral PracticeA72388CALIFORNIAYes

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
2ZZZ03538ZOTHERCALIFORNIAMEDICARE

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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