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

Prima Medical Group, Inc

Organization Non-Pharmacy Dispensing Site · NPI 1124297452

Prima Medical Group, Inc is a Non-Pharmacy Dispensing Site in San Rafael, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4000 Civic Center Dr 200
San Rafael, CA 94903-4171
Phone: (415) 492-3333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence G073451 (CA)

Record details

NPI number1124297452
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Director Of Operations · (858) 625-2990
NPI enumeratedFebruary 20, 2008
Last updated in NPPESOctober 22, 2012
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

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