PRIMA PRIMARY MEDICAL ASSOCIATION, INC
NPI 1023002029
Internal Medicine in La Jolla, CA
About Prima Primary Medical Association, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMA PRIMARY MEDICAL ASSOCIATION, INC (NPI 1023002029) is a healthcare organization registered as an internal medicine in La Jolla, California and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through June 11, 2028 and lists Bruce Covner, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prima Primary Medical Association, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Prima Primary Medical Association, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D0947294
Prima Primary Medical Assoc · La Jolla, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Prima Primary Medical Association, Inc's NPI number?
The NPI number for Prima Primary Medical Association, Inc is 1023002029. It was assigned to this organization in the NPPES registry on September 6, 2005.
Where is Prima Primary Medical Association, Inc located?
Prima Primary Medical Association, Inc is located at 9850 Genesee Ave Suite 355, La Jolla, CA 92037. The listed phone number is (858) 202-0011.
What is Prima Primary Medical Association, Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Prima Primary Medical Association, Inc enrolled in Medicare?
Yes. Prima Primary Medical Association, Inc is registered in the Medicare PECOS enrollment system.
When is Prima Primary Medical Association, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Prima Primary Medical Association, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Prima Primary Medical Association, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Prima Primary Medical Association, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0947294) is associated with this NPI, valid through June 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Prima Primary Medical Association, Inc was last updated on May 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Prima Primary Medical Association, Inc · NPI 1023002029
Internal Medicine organization in La Jolla, California. Organization record, active in the CMS NPPES registry since September 6, 2005.
## Identity
- **NPI:** 1023002029 (Entity type: Organization)
- **Enumerated:** September 6, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Bruce Covner, PRESIDENT
## Practice location
- **Address:** 9850 GENESEE AVE, SUITE 355, La Jolla, CA 92037-1224
- **Phone:** (858) 202-0011 · **Fax:** (858) 202-0055
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2010
- **Other identifiers:** Medicare ID-Type Unspecified W11865 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023002029) · Data from the CMS NPPES public registry.