# PRIMA MEDICAL FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRIMA MEDICAL FOUNDATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285898601
- **Legal business name:** PRIMA MEDICAL FOUNDATION
- **Authorized official:** MR. JOEL A. CRISTE (CEO)
- **Authorized official phone:** (415) 884-1840

## Contact information

- **Practice address:** 75 ROWLAND WAY, SUITE 100, NOVATO, CA 94945
- **Practice address phone:** (415) 897-9664
- **Practice address fax:** (415) 897-2446
- **Mailing address:** 4 HAMILTON LANDING, SUITE 100, NOVATO, CA 94949
- **Mailing address phone:** (415) 884-1840
- **Mailing address fax:** (415) 884-3510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | G73388 | CA | — |
| 208000000X | Pediatrics Physician | G55637 | CA | — |
| 208600000X | Surgery Physician | A65187 | CA | — |
| 208D00000X | General Practice Physician | G55637 | CA | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 07/15/2008
- **Last updated:** 08/14/2012