Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LEGACY MOBILE PRIMARY CARE, A NURSING P.C.
NPI 1487573473
Nurse Practitioner - Family in Foster City, CA

Q: What is Legacy Mobile Primary Care, A Nursing P.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since July 13, 2026

666 EDGEWATER BLVD APT 101, FOSTER CITY, CA 94404(347) 628-0147 Get Directions Write a Review

NPPES record added: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2026, Jul 13, 2026 (2 updates tracked since 2026).

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About Legacy Mobile Primary Care, A Nursing P.c. NPPES

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

LEGACY MOBILE PRIMARY CARE, A NURSING P.C. (NPI 1487573473), doing business as Legacy Mobile Primary Care, is a healthcare organization registered as a family in Foster City, California and active in the NPI registry since July 2026. The organization lists Miriam Etienne, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1487573473

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameLEGACY MOBILE PRIMARY CARE, A NURSING P.C.

Location Address666 EDGEWATER BLVD APT 101Foster City, CA 94404-2849

Mailing Address2108 N St # 16501Sacramento, CA 95816-5712

Phone(347) 628-0147

Organization SubpartNo

Authorized OfficialMiriam EtiennePresident/ceo · (347) 628-0147

Enumeration DateJuly 13, 2026

Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration

NPPES CertifiedAugust 14, 2026

✔ NPI 1487573473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

666 EDGEWATER BLVD APT 101, Foster City, CA 94404

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Other Names 1

Doing Business AsLegacy Mobile Primary Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Legacy Mobile Primary Care, A Nursing P.C.'s NPI number?

The NPI number for Legacy Mobile Primary Care, A Nursing P.C. is 1487573473. It was assigned to this organization in the NPPES registry on July 13, 2026. The provider is doing business as Legacy Mobile Primary Care.

Where is Legacy Mobile Primary Care, A Nursing P.C. located?

Legacy Mobile Primary Care, A Nursing P.C. is located at 666 Edgewater Blvd Apt 101, Foster City, CA 94404. The listed phone number is (347) 628-0147.

What is Legacy Mobile Primary Care, A Nursing P.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Legacy Mobile Primary Care, A Nursing P.C. was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days 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.