Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prima Medical Foundation

Organization Interventional Cardiology Physician · NPI 1548258106

Prima Medical Foundation is an Interventional Cardiology Physician in Greenbrae, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
Specialties on file
4

Practice location Address checks out

1260 S Eliseo Dr Fl 2
Greenbrae, CA 94904-2009
Phone: (415) 461-7800
Fax: (415) 924-1375
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence A72388 (CA)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence G88295 (CA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence G45217 (CA)
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1548258106
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPrima Medical Foundation
Authorized official Joanna Rubel — Sr. Director Of Practice Operations · (415) 842-5103
NPI enumeratedOctober 7, 2005
Last updated in NPPESAugust 13, 2015
Mailing address9 Commercial Blvd, Suite 200, Novato, CA 94949-6118