Primer Healthcare

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMER HEALTHCARE

Practice address

24950 Redlands Blvd Ste F
Loma Linda, CA 92354-4028

Phone

(909) 283-4033

Fax

(855) 621-1987

NPI assigned

Oct 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Priscilla Naamomo Otubuah, NP

Title

Co-Owner / Partner

Phone

(909) 283-4033

Specialties & licenses 1

Addresses

Other identifiers 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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19408/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1861902611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24950 REDLANDS BLVD STE F",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544028",
            "telephone_number": "909-283-4033",
            "fax_number": "855-621-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24950 REDLANDS BLVD STE F",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544028",
            "telephone_number": "909-283-4033",
            "fax_number": "855-621-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMER HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "OTUBUAH",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "NAAMOMO",
        "authorized_official_title_or_position": "CO-OWNER / PARTNER",
        "authorized_official_telephone_number": "909-283-4033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "95000921",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Ann Preston, FNP
• Louiedette Paige Presuel
• Harley R. Price, RPH
• Tiffany C Priester, M.D.
• Primary Choice Hospice Care Inc
• John C Prince, M.D.
• Patricia Principe
• Irene Paula Printzian, CRNA
• Gary B Prior, CRNA
• Marilyn K Prior, P.T.

• Family Medicine Physician in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.