Prime Health LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PRIME HEALTH LLC

Practice address

900 E Main St Ste 106
Grass Valley, CA 95945-5853

Phone

(747) 500-4253

NPI assigned

Dec 14, 2022

Last updated

Oct 1, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Powell, DO

Title

Owner/ Physician

Phone

(747) 500-4253

Specialties & licenses 1

Addresses

Other names 1

• Prime Health Clinic Llc Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Neal Hiatt, NP

  • Family Nurse Practitioner
  • West Sacramento, CA
  • NPI 1942982426
  NPD
• Ian Webster Radloff, FNP-BC

  • Family Nurse Practitioner
  • Sacramento, CA
  • NPI 1932940319
  NPD

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1568174118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E MAIN ST STE 106",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455853",
            "telephone_number": "747-500-4253",
            "fax_number": "747-356-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E MAIN ST STE 106",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455853",
            "telephone_number": "747-500-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "747-500-4253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Health Clinic Llc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michele Prescott
• Matt Preszler, MFT
• Grafton Joseph Prewett
• Anders Price Tison
• Tatiana Priestley
• Christie Prince, LEP
• Christina Prints
• Jon R Pritchett, M.D.
• Project Heart, Inc
• Cynthia L Prout, RADT-1

• General Practice Physician in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.