OrganizationActive
Prima Medical Group, Inc.
NPI 1124297452 · Non-Pharmacy Dispensing Site · San Rafael, CA
Prima Medical Group, Inc. is a Non-Pharmacy Dispensing Site organization in San Rafael, CA (NPI 1124297452).
Provider details
- NPI number
- 1124297452
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Director of Operations(858) 625-2990
- License
- G073451 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4000 Civic Center Dr
200
San Rafael, CA 94903-4171
Phone: (415) 492-3333
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2008-02-20
- Last updated
- 2012-10-22
Frequently asked questions
- What is Prima Medical Group, Inc.'s NPI number?
- Prima Medical Group, Inc.'s National Provider Identifier (NPI) is 1124297452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prima Medical Group, Inc.?
- Prima Medical Group, Inc. is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Prima Medical Group, Inc. located?
- Prima Medical Group, Inc.'s practice location on file with NPPES is 4000 Civic Center Dr, San Rafael, CA 94903-4171.
- What is Prima Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Prima Medical Group, Inc. is (415) 492-3333.
- Who is the authorized official for Prima Medical Group, Inc.?
- The authorized official listed on Prima Medical Group, Inc.'s NPPES record is Kenny Heine, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prima Medical Group, Inc.'s NPI active?
- Yes — Prima Medical Group, Inc.'s NPI (1124297452) is active in the NPPES registry as of the last update on 2012-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.