Prima Medical Foundation
NPI 1366606766ActiveOrganization· Pediatrics· Mill Valley, CA
Pediatrics in Mill Valley, California, registered in NPPES in July 2008, part of Prima Medical Foundation. The authorized official on file is Joel A. Criste, Ceo.
Overview
| NPI | 1366606766 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Prima Medical Foundation |
| NPI issued | Jul 15, 2008 |
| Last updated in NPPES | Aug 31, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | A77821 | CA |
| Pediatrics | 208000000X | G55637 | CA |
| Surgery | 208600000X | A65187 | CA |
| General Practice | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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