Northern California Medical Assoc Inc
LBN: Northern California Medical Assoc Inc
Northern California Medical Assoc Inc is an health care organization with primary practice located at 3536 Mendocino Ave Ste 300, Santa Rosa CA 95403. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Northern California Medical Assoc Inc can be contacted via phone (707) 573-6942, or through Skidmore, Ruth Ann via phone (707) 573-6925.
Contact Information
Primary practice address
3536 Mendocino Ave Ste 300
Santa Rosa CA 95403
Phone: (707) 573-6942
Fax: (707) 575-6038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X |
Profile Details
| NPI number | 1093713778 |
|---|---|
| LBN Legal business name | Northern California Medical Assoc Inc |
| DBA Doing business as | |
| Authorized official | Skidmore, Ruth Ann |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Aug 7th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093713778 | NPPES |
| California | MEDICAID | GR000173F | |
| California | Other | ZZZ29088Z |
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