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

Prima Medical Group-Terra Linda

Organization General Practice Physician · NPI 1730463258

Prima Medical Group-Terra Linda is a General Practice Physician 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
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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