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NORTHERN CALIFORNIA MEDICAL ASSOC INC NPI 1093229312


NPI Information

NPI: 1093229312
Provider Name: NORTHERN CALIFORNIA MEDICAL ASSOC INC
Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Organization

CLIA Number: 05D0858097

Address:
506 S MAIN ST
SEBASTOPOL, CA
ZIP 95472
Phone: (707) 829-5455
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NORTHERN CALIFORNIA MEDICAL ASSOC INC is a neuromusculoskeletal medicine omm in Sebastopol, CA. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. NORTHERN CALIFORNIA MEDICAL ASSOC INC NPI is 1093229312. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

506 S MAIN ST
SEBASTOPOL, CA
ZIP 95472-261
Phone: (707) 829-5455
Fax: (707) 824-9235

The provider's authorized official is Sally A Dewald .
The authorized official title is Director Of Business Services and has the following contact phone number (707) 525-6485.

The CLIA number assigned to this NPI record is 05D0858097 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2017 and was last updated on 11/22/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204D00000XNeuromusculoskeletal Medicine & OMM20A5942CALIFORNIAYes
2207Q00000XFamily Medicine20A5942CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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