# PRIMA MEDICAL FOUNDATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1548541105
- **Legal business name:** PRIMA MEDICAL FOUNDATION
- **Authorized official:** MR. JOEL A. CRISTE (CEO)
- **Authorized official phone:** (415) 884-1840

## Contact information

- **Practice address:** 250 BON AIR RD, GREENBRAE, CA 94904-1702
- **Practice address phone:** (415) 925-7582
- **Mailing address:** 4 HAMILTON LNDG, SUITE 100, NOVATO, CA 94949-8256
- **Mailing address phone:** (415) 884-1840
- **Mailing address fax:** (415) 884-3510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A84556 | CA | Yes |
| 208600000X | Surgery Physician | A65187 | CA | — |

## Other

- **Enumeration date:** 09/08/2011
- **Last updated:** 08/08/2012