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NORTHERN CALIFORNIA MEDICAL ASSOC INC NPI 1457534174


NPI Information

NPI: 1457534174
Provider Name: NORTHERN CALIFORNIA MEDICAL ASSOC INC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
1701 4TH ST
STE 200
SANTA ROSA, CA
ZIP 95404
Phone: (707) 579-2100
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NORTHERN CALIFORNIA MEDICAL ASSOC INC is a surgery in Santa Rosa, CA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. NORTHERN CALIFORNIA MEDICAL ASSOC INC NPI is 1457534174. 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 200
SANTA ROSA, CA
ZIP 95404-601
Phone: (707) 579-2100
Fax: (707) 523-0616

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) 573-6925.

The enumeration date for this NPI number is 12/17/2007 and was last updated on 2/9/2012.


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
12086S0127XSurgeryTrauma SurgeryNo
22086S0129XSurgeryVascular SurgeryNo
3207W00000XOphthalmologyNo
4208600000XSurgeryYes

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
1ZZZ06925ZMEDICARE PINCALIFORNIA
21457534174MEDICAIDCALIFORNIA
3ZZZ51552YOTHERCALIFORNIABLUE SHIELD

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: 11/14/2023

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