PRIMA MEDICAL GROUP-TERRA LINDA
NPI 1730463258
General Practice in San Rafael, CA

Active since October 03, 2011
4000 CIVIC CENTER DRIVE, SUITE 200B, SAN RAFAEL, CA 94903(415) 492-3333(415) 492-3425 Get Directions Write a Review

NPPES record last updated: August 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prima Medical Group-terra Linda NPPES

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

PRIMA MEDICAL GROUP-TERRA LINDA (NPI 1730463258) is a healthcare organization registered as a general practice in San Rafael, California and active in the NPI registry since October 2011. The organization lists Joel A Criste, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730463258
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePRIMA MEDICAL GROUP-TERRA LINDA
Location Address4000 CIVIC CENTER DRIVE, SUITE 200BSan Rafael, CA 94903
Mailing Address4 Hamilton Landing, Suite 100Novato, CA 94949 · (415) 884-1840 · Fax (415) 884-3510
Fax(415) 492-3425
Organization SubpartYesParent: Prima Medical Foundation
Authorized OfficialJoel A CristeCeo · (415) 884-1840
Enumeration DateOctober 3, 2011
Last NPPES UpdateAugust 14, 2012
NPI 1730463258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · G73451
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X · License G55637 (CA)
4000 CIVIC CENTER DRIVE, San Rafael, CA 94903

Other Identifiers 1

Medicare OSCAR/certification222035382CA

Other Providers at the Same Location NPPES

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

Family Medicine
4000 CIVIC CENTER DRIVE, SUITE 200
SAN RAFAEL, CA 94903

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-Terra Linda's NPI number?

The NPI number for Prima Medical Group-Terra Linda is 1730463258. It was assigned to this organization in the NPPES registry on October 3, 2011.

Where is Prima Medical Group-Terra Linda located?

Prima Medical Group-Terra Linda is located at 4000 Civic Center Drive Suite 200B, San Rafael, CA 94903. The listed phone number is (415) 492-3333.

What is Prima Medical Group-Terra Linda's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Prima Medical Group-Terra Linda was last updated on August 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.