Provider Demographics
NPI:1356225577
Name:FPRIMUSMD INC
Entity type:Organization
Organization Name:FPRIMUSMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:E
Authorized Official - Last Name:PRIMUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-456-3316
Mailing Address - Street 1:109 S LAKE MERCED HLS APT 3B
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132-2923
Mailing Address - Country:US
Mailing Address - Phone:773-456-3316
Mailing Address - Fax:
Practice Address - Street 1:109 S LAKE MERCED HLS APT 3B
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94132-2923
Practice Address - Country:US
Practice Address - Phone:773-456-3316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health