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 500 Doyle Park Dr Ste G03, Santa Rosa CA 95405-4559. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Northern California Medical Assoc Inc can be contacted via phone (707) 544-3411, or through Skidmore, Ruth Ann via phone (707) 573-6925.

Contact Information

Primary practice address
500 Doyle Park Dr Ste G03 Santa Rosa CA 95405-4559
Phone: (707) 544-3411
Fax: (707) 544-0834
Website:
Map and Directions
Authorized official contact:
Name: Skidmore, Ruth Ann
Phone: (707) 573-6925

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1326243478
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 Jun 19th, 2007
Last updated Dec 12th, 2008 - about 16 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 1326243478 NPPES
Other ZZZ50758Z BLUE SHIELD OF CALIFORNIA
MEDICAID GR0001738 BLUE SHIELD OF CALIFORNIA

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