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Prima Medical Foundation

General Practice Physician in Sebastopol, CA · enumerated 2013 · authorized official Dennis Mondragon, Coo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1902244528

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Registry record

Entity type Organization (Type 2)
Legal business name Prima Medical Foundation
Other name <Unavail>
Parent organization Prima Medical Foundation
Practice address 652 Petaluma Ave, Suite H, Sebastopol, CA, 95472
Fax (707) 823-2803
Enumeration date Jun 5, 2013
Last updated in NPPES Jun 5, 2013

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Dennis Mondragon
Title Coo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Prima Medical Foundation?
The NPI for Prima Medical Foundation is 1902244528, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Prima Medical Foundation?
NPPES lists Dennis Mondragon (Coo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-06-05.