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 652 Petaluma Ave Ste E, Sebastopol CA 95472-4266. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Northern California Medical Assoc Inc can be contacted via phone (707) 573-6166, or through Skidmore, Ruth A. via phone (707) 573-6925.

Contact Information

Primary practice address
652 Petaluma Ave Ste E Sebastopol CA 95472-4266
Phone: (707) 573-6166
Fax: (707) 573-6165
Website:
Map and Directions
Authorized official contact:
Name: Skidmore, Ruth A.
Phone: (707) 573-6925

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X

Profile Details

NPI number 1184845182
LBN Legal business name Northern California Medical Assoc Inc
DBA Doing business as
Authorized official Skidmore, Ruth A.
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2007
Last updated Oct 1st, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184845182 NPPES
California Other ZZZ36920Z BLUE SHIELD OF CALIFORNIA
California MEDICAID GR000173J BLUE SHIELD OF CALIFORNIA

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