Prima Medical Group-Terra Linda
NPI 1730463258ActiveOrganization· General Practice· San Rafael, CA
General Practice in San Rafael, California, registered in NPPES in October 2011, part of Prima Medical Foundation. The authorized official on file is Joel A. Criste, Ceo.
Overview
| NPI | 1730463258 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Prima Medical Foundation |
| NPI issued | Oct 3, 2011 |
| Last updated in NPPES | Aug 14, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | G73451 | CA |
| Clinic/Center, Multi-Specialty | 261QM1300X | G55637 | CA |
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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