Prime Medical Associates, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G9021 Issued in CA

Legal business name

PRIME MEDICAL ASSOCIATES, INC.

Practice address

817 Harrison St
Oakland, CA 94607-4422

Phone

(510) 451-8088

Fax

(510) 451-8088

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Pauline Valeriano-Der

Title

Office Administrator

Phone

(510) 451-8088

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1881799583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 HARRISON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074422",
            "telephone_number": "510-451-8088",
            "fax_number": "510-451-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 HARRISON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074422",
            "telephone_number": "510-451-8088",
            "fax_number": "510-451-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "VALERIANO-DER",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "510-451-8088"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G9021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Oakland, CA
• Providers in Oakland, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.