Prima Medical Foundation
LBN: Prima Medical Foundation
Prima Medical Foundation is an health care organization with primary practice located at 5 Bon Air Rd #101, Larkspur CA 94939-1143. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Prima Medical Foundation can be contacted via phone (415) 924-2515, or through Criste, Joel A. via phone (415) 884-1840.
Contact Information
Primary practice address
5 Bon Air Rd #101
Larkspur CA 94939-1143
Phone: (415) 924-2515
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | G72742 | California |
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | A111326 | California |
Profile Details
NPI number | 1346520905 |
---|---|
LBN Legal business name | Prima Medical Foundation |
DBA Doing business as | |
Authorized official | Criste, Joel A. |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Aug 26th, 2011 |
Last updated | Jul 24th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346520905 | NPPES |
California | Other | ZZZ03538Z | MEDICARE PTAN |
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