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NORTHERN CALIFORNIA MEDICAL ASSOC INC NPI 1396040226


NPI Information

NPI: 1396040226
Provider Name: NORTHERN CALIFORNIA MEDICAL ASSOC INC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
1701 4TH ST
STE 120
SANTA ROSA, CA
ZIP 95404
Phone: (707) 523-7025
Get Directions

NORTHERN CALIFORNIA MEDICAL ASSOC INC is an otolaryngology in Santa Rosa, CA. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. NORTHERN CALIFORNIA MEDICAL ASSOC INC NPI is 1396040226. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1701 4TH ST
STE 120
SANTA ROSA, CA
ZIP 95404-661
Phone: (707) 523-7025
Fax: (707) 523-3024

The provider's authorized official is Ruth A Skidmore .
The authorized official title is Chief Executive Officer and has the following contact phone number (707) 525-6925.

The enumeration date for this NPI number is 1/25/2011 and was last updated on 11/5/2018.


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
1207YS0123XOtolaryngologyFacial Plastic SurgeryNo
22086S0122XSurgeryPlastic and Reconstructive SurgeryNo
3231H00000XAudiologistNo
4207Y00000XOtolaryngologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11396040226MEDICAIDCALIFORNIA
2ZZZ38629ZOTHERCALIFORNIABLUE SHIELD
3CN8040OTHERCALIFORNIARAILROAD MEDICARE

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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