Prima Primary Medical Association, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

B1984005592 Issued in CA

Legal business name

PRIMA PRIMARY MEDICAL ASSOCIATION, INC

Practice address

9850 Genesee Ave
Suite 355
La Jolla, CA 92037-1224

Phone

(858) 202-0011

Fax

(858) 202-0055

NPI assigned

Sep 6, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bruce Covner, M.D.NPI 1720072192

Title

President

Phone

(858) 202-0011

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Covner, M.D.

  • Internal Medicine Physician
  • La Jolla, CA
  • NPI 1720072192
  Medicare reassignment NPD Authorized official
• Timothy J. O'Neill, M.D.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1831172295
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1023002029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "SUITE 355",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371224",
            "telephone_number": "858-202-0011",
            "fax_number": "858-202-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "SUITE 355",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371224",
            "telephone_number": "858-202-0011",
            "fax_number": "858-202-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMA PRIMARY MEDICAL ASSOCIATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "COVNER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-202-0011",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "B1984005592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew J. Price, M.D.
• Michael Scot Price, P.A.
• Pamela G Price, MD
• Britnie Priest, MAT, ATC, LAT
• Sabrina Prijatel
• Deborah L Prince, O.D.
• Joseph Prindle, PH.D., BCBA
• Mitchell Douglas Prins, MD
• Catherine Denny Printz, PT, DPT
• Private Dental Group

• Internal Medicine Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.