Prima Medical Foundation Sebastopol
NPI 1154590958 · Multi-Specialty Clinic/Center · Sebastopol, CA
Prima Medical Foundation Sebastopol is a Multi-Specialty Clinic/Center organization in Sebastopol, CA (NPI 1154590958).
Provider details
- NPI number
- 1154590958
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Prima Medical Foundation
- Organization subpart
- Yes
- Authorized official
- Dennis Mondragon, Coo(415) 884-1840
Specialties & taxonomies
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Prima Medical Group
Registry dates
- Enumerated
- 2008-02-26
- Last updated
- 2013-04-24
Frequently asked questions
- What is Prima Medical Foundation Sebastopol's NPI number?
- Prima Medical Foundation Sebastopol's National Provider Identifier (NPI) is 1154590958, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prima Medical Foundation Sebastopol?
- Prima Medical Foundation Sebastopol is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Prima Medical Foundation Sebastopol located?
- Prima Medical Foundation Sebastopol's practice location on file with NPPES is 652 Petaluma Ave, Sebastopol, CA 95472-4256.
- What is Prima Medical Foundation Sebastopol's phone number?
- The practice phone number listed in the NPPES registry for Prima Medical Foundation Sebastopol is (707) 823-7616.
- Who is the authorized official for Prima Medical Foundation Sebastopol?
- The authorized official listed on Prima Medical Foundation Sebastopol's NPPES record is Dennis Mondragon, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prima Medical Foundation Sebastopol's NPI active?
- Yes — Prima Medical Foundation Sebastopol's NPI (1154590958) is active in the NPPES registry as of the last update on 2013-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.