Prime Medicine Partners Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIME MEDICINE PARTNERS INC

Practice address

7647 N Fresno St
Fresno, CA 93720-2578

Phone

(818) 666-6686

NPI assigned

Nov 8, 2020

Organization subpart

No

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

Authorized official

Name

Sukhdeep Kaur

Title

Adminstrator

Phone

(818) 666-6686

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1604793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604793600000",
    "number": "1184225872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7647 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202578",
            "telephone_number": "818-666-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7647 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202578",
            "telephone_number": "818-666-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDICINE PARTNERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-08",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "SUKHDEEP",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "818-666-6686"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770817744",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740413780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Primary Care Internist Inc
• Primary Care Providers LLC
• Primary Healthcare Plus Medical Group Inc
• Prime Enterprise Alpha LLC
• Prime Medical Transport LLC
• Prime Mental Health Center
• Prime Orbbit LLC
• Primecare Equipment LLC
• Primer Paso Institute, Inc
• Karl Emerson Primero, M.D.

• Internal Medicine Physician in Fresno, CA
• Providers in Fresno, 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 Nov 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.