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PRIMA MEDICAL GROUP
NPI 1154590958
Clinic/Center - Multi-Specialty in Sebastopol, CA

Active since February 26, 2008
652 PETALUMA AVE, SUITE H, SEBASTOPOL, CA 95472(707) 823-7616(707) 823-2803 Get Directions Write a Review

NPPES record last updated: April 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prima Medical Group NPPES

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

PRIMA MEDICAL GROUP (NPI 1154590958) is a healthcare organization registered as a multi-specialty in Sebastopol, California and active in the NPI registry since February 2008. The organization lists Dennis Mondragon, Coo, as its authorized official.

NPPES Registry Identity

NPI1154590958
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePRIMA MEDICAL FOUNDATION SEBASTOPOL
Location Address652 PETALUMA AVE, SUITE HSebastopol, CA 95472-4256
Mailing Address4 Hamilton Lndg Ste 100Novato, CA 94949-8247 · (415) 884-1840
Phone(707) 823-7616
Fax(707) 823-2803
Organization SubpartYesParent: Prima Medical Foundation
Authorized OfficialDennis MondragonCoo · (415) 884-1840
Enumeration DateFebruary 26, 2008
Last NPPES UpdateApril 24, 2013
✔ NPI 1154590958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
652 PETALUMA AVE, Sebastopol, CA 95472
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Other Names 1

Doing Business AsPrima Medical Group

Other Providers at the Same Location NPPES 17

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

DR. JAMES ARTHUR LOWY MD
Family Medicine
652 PETALUMA AVE, SUITE F
SEBASTOPOL, CA 95472
Sonoma County (707) 823-2334
NORTHERN CALIFORNIA MEDICAL ASSOC INC
Internal Medicine (Cardiovascular Disease)
652 PETALUMA AVE, STE E
SEBASTOPOL, CA 95472
Sonoma County (707) 573-6166
MR. EMILIO LICEA III PSYD
Psychologist (Clinical)
652 PETALUMA AVE
SEBASTOPOL, CA 95472
Sonoma County (707) 823-3166
MAYA LOPEZ LCSW
Social Worker (Clinical)
652 PETALUMA AVE
SEBASTOPOL, CA 95472
Sonoma County (707) 216-0548
DR. HOPE ANITA BECKLUND MD
Family Medicine
652 PETALUMA AVE, SUITE F
SEBASTOPOL, CA 95472
Sonoma County (707) 823-2334
SUTTER MEDICAL GROUP OF THE REDWOODS
Family Medicine
652 PETALUMA AVE, SUITE F
SEBASTOPOL, CA 95472
Sonoma County (707) 823-2334
MS. SUZANNE YEOMANS LCSW
Social Worker (Clinical)
652 PETALUMA AVE
SEBASTOPOL, CA 95472
Sonoma County (707) 823-3166
VALERIE STONE FNP-C
Nurse Practitioner (Family)
652 PETALUMA AVE
SEBASTOPOL, CA 95472
Sonoma County (707) 823-3166

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 Foundation Sebastopol's NPI number?

The NPI number for Prima Medical Foundation Sebastopol is 1154590958. It was assigned to this organization in the NPPES registry on February 26, 2008. The provider is doing business as Prima Medical Group.

Where is Prima Medical Foundation Sebastopol located?

Prima Medical Foundation Sebastopol is located at 652 Petaluma Ave Suite H, Sebastopol, CA 95472. The listed phone number is (707) 823-7616.

What is Prima Medical Foundation Sebastopol's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Prima Medical Foundation Sebastopol was last updated on April 24, 2013. 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.