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NORTHERN CALIFORNIA MEDICAL ASSOC INC NPI 1245492321


NPI Information

NPI: 1245492321
Provider Name: NORTHERN CALIFORNIA MEDICAL ASSOC INC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1701 4TH ST STE 100
SANTA ROSA, CA
ZIP 95404
Phone: (707) 578-1222
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NORTHERN CALIFORNIA MEDICAL ASSOC INC is a podiatrist in Santa Rosa, CA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. NORTHERN CALIFORNIA MEDICAL ASSOC INC NPI is 1245492321. 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 100
SANTA ROSA, CA
ZIP 95404
Phone: (707) 578-1222
Fax: (707) 578-8348

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 enumeration date for this NPI number is 6/30/2008 and was last updated on 9/4/2018.


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
1213ES0103XPodiatristFoot & Ankle SurgeryNo
2213E00000XPodiatristYes

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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