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 1140 Sonoma Ave Ste 1A, Santa Rosa CA 95405-4817. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Urology is the primary health care specialty. Northern California Medical Assoc Inc can be contacted via phone (707) 546-5553, or through Skimore, Ruth A via phone (707) 573-6925.

Contact Information

Primary practice address
1140 Sonoma Ave Ste 1A Santa Rosa CA 95405-4817
Phone: (707) 546-5553
Fax: (707) 546-0725
Website:
Map and Directions
Authorized official contact:
Name: Skimore, Ruth A
Phone: (707) 573-6925

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X

Profile Details

NPI number 1588829691
LBN Legal business name Northern California Medical Assoc Inc
DBA Doing business as
Authorized official Skimore, Ruth A
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2008
Last updated Dec 9th, 2008 - 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 1588829691 NPPES
California Other ZZZ54233Y BS OF CALIFORNIA
California MEDICAID 1588829691 BS OF CALIFORNIA

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