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 200, Santa Rosa CA 95404-3601. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Northern California Medical Assoc Inc can be contacted via phone (707) 579-2100, or through Skidmore, Ruth A via phone (707) 573-6925.

Contact Information

Primary practice address
1701 4Th St Ste 200 Santa Rosa CA 95404-3601
Phone: (707) 579-2100
Fax: (707) 523-0616
Website:
Map and Directions
Authorized official contact:
Name: Skidmore, Ruth A
Phone: (707) 573-6925

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1457534174
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 Dec 17th, 2007
Last updated Feb 9th, 2012 - about 12 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 1457534174 NPPES
California MEDICAID 1457534174
California Other ZZZ51552Y

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