Prima Medical Foundation

LBN: Prima Medical Foundation
Prima Medical Foundation is an health care organization with primary practice located at 5 Bon Air Rd #117, Larkspur CA 94939-1143. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty. Prima Medical Foundation can be contacted via phone (415) 924-9770, or through Criste, Joel A. via phone (415) 884-1840.

Contact Information

Primary practice address
5 Bon Air Rd #117 Larkspur CA 94939-1143
Phone: (415) 924-9770
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Criste, Joel A.
Phone: (415) 884-1840

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Surgery 208600000X A65187 California

Profile Details

NPI number 1396026399
LBN Legal business name Prima Medical Foundation
DBA Doing business as
Authorized official Criste, Joel A.
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 2nd, 2011
Last updated Aug 8th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396026399 NPPES
California Other ZZZ03538Z MEDICARE PTAN

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