Prima Medical Foundation
NPI 1396909735ActiveOrganization· Pediatrics· Greenbrae, CA
Pediatrics in Greenbrae, California, registered in NPPES in July 2008, part of Prima Medical Foundation. The authorized official on file is Joanna Rubel, Sr. Director Of Practice Operations.
Overview
| NPI | 1396909735 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Prima Medical Foundation |
| NPI issued | Jul 15, 2008 |
| Last updated in NPPES | Jul 18, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | A42149 | CA |
| Pediatrics | 208000000X | G55637 | CA |
| Pediatrics | 208000000X | — | — |
| Surgery | 208600000X | A65187 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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