PRIMA MEDICAL GROUP
NPI 1902244528
General Practice in Sebastopol, CA

Active since June 05, 2013
652 PETALUMA AVE, SUITE H, SEBASTOPOL, CA 95472(707) 823-7616(707) 823-2803 Get Directions Write a Review

NPPES record last updated: June 5, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prima Medical Group NPPES

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

PRIMA MEDICAL GROUP (NPI 1902244528) is a healthcare organization registered as a general practice in Sebastopol, California and active in the NPI registry since June 2013. The organization lists Dennis Mondragon, Coo, as its authorized official.

NPPES Registry Identity

NPI1902244528
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePRIMA MEDICAL FOUNDATION
Location Address652 PETALUMA AVE, SUITE HSebastopol, CA 95472-4256
Mailing Address4 Hamilton Lndg, Suite 100Novato, CA 94949-8256 · (415) 884-1840 · Fax (415) 883-7127
Fax(707) 823-2803
Organization SubpartYes
Authorized OfficialDennis MondragonCoo · (415) 884-1840
Enumeration DateJune 5, 2013
NPI 1902244528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
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

652 PETALUMA AVE, Sebastopol, CA 95472

Other Names 1

Doing Business AsPrima Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY 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.

Family Medicine
652 PETALUMA AVE, SUITE F
SEBASTOPOL, CA 95472
Clinic/Center (Multi-Specialty)
652 PETALUMA AVE, SUITE H
SEBASTOPOL, CA 95472
Internal Medicine (Cardiovascular Disease)
652 PETALUMA AVE, STE E
SEBASTOPOL, CA 95472
Psychologist (Clinical)
652 PETALUMA AVE
SEBASTOPOL, CA 95472
Social Worker (Clinical)
652 PETALUMA AVE
SEBASTOPOL, CA 95472
Family Medicine
652 PETALUMA AVE, SUITE F
SEBASTOPOL, CA 95472
Family Medicine
652 PETALUMA AVE, SUITE F
SEBASTOPOL, CA 95472
Social Worker (Clinical)
652 PETALUMA AVE
SEBASTOPOL, CA 95472

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's NPI number?

The NPI number for Prima Medical Foundation is 1902244528. It was assigned to this organization in the NPPES registry on June 5, 2013. The provider is doing business as Prima Medical Group.

Where is Prima Medical Foundation located?

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

What is Prima Medical Foundation'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 Foundation was last updated on June 5, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.