NORTHERN CALIFORNIA MEDICAL ASSOC INC NPI 1548262926

NPI Information

NPI: 1548262926
Provider Name: NORTHERN CALIFORNIA MEDICAL ASSOC INC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
558 3RD ST W
SONOMA, CA
ZIP 95476
Phone: (707) 931-6469
Get Directions

NORTHERN CALIFORNIA MEDICAL ASSOC INC is a cardiovascular disease internal medicine in Sonoma, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. NORTHERN CALIFORNIA MEDICAL ASSOC INC NPI is 1548262926. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

558 3RD ST W
SONOMA, CA
ZIP 95476-502
Phone: (707) 931-6469
Fax: (707) 934-8492

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

The enumeration date for this NPI number is 8/15/2005 and was last updated on 10/5/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RI0011X	Internal Medicine	Interventional Cardiology			No
2	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ38796Z	OTHER	CALIFORNIA	BLUE SHIELD OF CALIFORNIA
2	1548262926	MEDICAID	CALIFORNIA

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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