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 620 S Dora St Ste 102 West, Ukiah CA 95482-5466. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is the primary health care specialty. Northern California Medical Assoc Inc can be contacted via phone (707) 462-1516, or through Skidmore, Ruth A via phone (707) 573-6925.

Contact Information

Primary practice address
620 S Dora St Ste 102 West Ukiah CA 95482-5466
Phone: (707) 462-1516
Fax: (707) 462-1178
Website:
Map and Directions
Authorized official contact:
Name: Skidmore, Ruth A
Phone: (707) 573-6925

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X

Profile Details

NPI number 1598067720
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 Nov 19th, 2010
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 1598067720 NPPES
California MEDICAID 1598067720
California Other ZZZ03529Z

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