1. Home
  2. Directory
  3. California
  4. San Rafael
  5. Non Pharmacy Dispensing Site
  6. NPI Profile

PRIMA MEDICAL GROUP, INC.
NPI 1124297452
Non-Pharmacy Dispensing Site in San Rafael, CA

Active since February 20, 2008
4000 CIVIC CENTER DR, 200, SAN RAFAEL, CA 94903(415) 492-3333 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prima Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMA MEDICAL GROUP, INC. (NPI 1124297452) is a healthcare organization registered as a non-pharmacy dispensing site in San Rafael, California and active in the NPI registry since February 2008. The organization lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1124297452
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePRIMA MEDICAL GROUP, INC.
Location Address4000 CIVIC CENTER DR, 200San Rafael, CA 94903-4171
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(415) 492-3333
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateFebruary 20, 2008
Last NPPES UpdateOctober 22, 2012
✔ NPI 1124297452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in CA · G073451
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
4000 CIVIC CENTER DR, San Rafael, CA 94903
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIRANDA MINH-HAN NGUYEN
Physician Assistant
4000 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 492-3333
DANIEL J. SOLOMON, MD INC
Orthopaedic Surgery (Sports Medicine)
4000 CIVIC CENTER DR, SUITE 205
SAN RAFAEL, CA 94903
Marin County (415) 492-1600
DR. CRIZELDA LAURON O.D.
Optometrist
4000 CIVIC CENTER DR, SUITE 200A
SAN RAFAEL, CA 94903
Marin County (415) 444-0300
SHELLEY A PALFY MD
Pediatrics
4000 CIVIC CENTER DR, #205
SAN RAFAEL, CA 94903
Marin County (415) 479-7244
ESTEFANY GUTIERREZ
Behavior Technician
4000 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (628) 877-0040
KURT HOYT KUNZEL MD
Emergency Medicine
4000 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (209) 342-2300
RAJDEEP SINGH FNP
Nurse Practitioner (Family)
4000 CIVIC CENTER DR, SUITE 200
SAN RAFAEL, CA 94903
Marin County (415) 492-3333
CYNTHIA BILLMEYER CLARK MD
Emergency Medicine
4000 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (209) 342-2300

Frequently 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 Medical Group, Inc.'s NPI number?

The NPI number for Prima Medical Group, Inc. is 1124297452. It was assigned to this organization in the NPPES registry on February 20, 2008.

Where is Prima Medical Group, Inc. located?

Prima Medical Group, Inc. is located at 4000 Civic Center Dr 200, San Rafael, CA 94903. The listed phone number is (415) 492-3333.

What is Prima Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Prima Medical Group, Inc. was last updated on October 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.