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 1310 Prentice Dr Ste G, Healdsburg CA 95448-5005. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Northern California Medical Assoc Inc can be contacted via phone (707) 433-0216, or through Skidmore, Ruth Ann via phone (707) 573-6925.

Contact Information

Primary practice address
1310 Prentice Dr Ste G Healdsburg CA 95448-5005
Phone: (707) 433-0216
Fax: (707) 433-6674
Website:
Map and Directions
Authorized official contact:
Name: Skidmore, Ruth Ann
Phone: (707) 573-6925

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X

Profile Details

NPI number 1629193438
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 Mar 20th, 2007
Last updated Dec 12th, 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 1629193438 NPPES
California MEDICAID GR000173H
California Other ZZZ36779Z

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