Prima Medical Foundation
NPI 1548258106ActiveOrganization· General Practice· Greenbrae, CA
General Practice in Greenbrae, California, registered in NPPES in October 2005, part of Prima Medical Foundation. The authorized official on file is Joanna Rubel, Sr. Director Of Practice Operations.
Overview
| NPI | 1548258106 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Prima Medical Foundation |
| NPI issued | Oct 7, 2005 |
| Last updated in NPPES | Aug 13, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | A72388 | CA |
| Internal Medicine, Interventional Cardiology | 207RI0011X | G88295 | CA |
| Internal Medicine, Pulmonary Disease | 207RP1001X | G45217 | CA |
| General Practice | 208D00000X | — | — |
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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