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 1701 4Th St Ste 120, Santa Rosa CA 95404-3661. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Speech, Language and Hearing Service Providers / Audiologist. Allopathic & Osteopathic Physicians / Otolaryngology is the primary health care specialty. Northern California Medical Assoc Inc can be contacted via phone (707) 523-7025, or through Skidmore, Ruth A via phone (707) 525-6925.

Contact Information

Primary practice address
1701 4Th St Ste 120 Santa Rosa CA 95404-3661
Phone: (707) 523-7025
Fax: (707) 523-3024
Website:
Map and Directions
Authorized official contact:
Name: Skidmore, Ruth A
Phone: (707) 525-6925

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1396040226
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 Jan 25th, 2011
Last updated Nov 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396040226 NPPES
California MEDICAID 1396040226
California Other CN8040
California Other ZZZ38629Z

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