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 5555 Montgomery Dr , Santa Rosa CA 95409-8846. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Northern California Medical Assoc Inc can be contacted via phone (707) 546-2180, or through Skidmore, Ruth Ann via phone (707) 573-6925.
Contact Information
Primary practice address
5555 Montgomery Dr
Santa Rosa CA 95409-8846
Phone: (707) 546-2180
Fax: (707) 546-2188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X |
Profile Details
| NPI number | 1821077231 |
|---|---|
| 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 | Jan 13th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821077231 | NPPES |
| California | Other | ZZZ65993Z | BLUE SHIELD OF CALIFORNIA |
| California | MEDICAID | GR000173E | BLUE SHIELD OF CALIFORNIA |
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