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 3867 Montgomery Dr , Santa Rosa CA 95405-5244. 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) 525-3786, or through Skidmore, Ruth A via phone (707) 573-6925.

Contact Information

Primary practice address
3867 Montgomery Dr Santa Rosa CA 95405-5244
Phone: (707) 525-3786
Fax: (707) 525-3791
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 1952603177
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 13 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 1952603177 NPPES
California MEDICAID 1952603177
California Other ZZZ00205Z

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