Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Prima Medical Group-Terra Linda

Organization General Practice Physician · NPI 1730463258

Prima Medical Group-Terra Linda provides General Practice Physician services in San Rafael, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

4000 Civic Center Dr Ste 200B
San Rafael, CA 94903 Not confirmed with CMS for 14 years — call before visiting
Phone: (415) 492-3333
Fax: (415) 492-3425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence G73451 (CA)
Multi-Specialty Clinic/Center Taxonomy 261QM1300X · Licence G55637 (CA)

Record details

NPI number1730463258
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPrima Medical Foundation
Authorized official Joel Criste — Ceo · (415) 884-1840
NPI enumeratedOctober 3, 2011
Last updated in NPPESAugust 14, 2012
Mailing address4 Hamilton Landing, Suite 100, Novato, CA 94949

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