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NORTHERN CALIFORNIA MEDICAL ASSOC INC NPI 1629193438


NPI Information

NPI: 1629193438
Provider Name: NORTHERN CALIFORNIA MEDICAL ASSOC INC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
1310 PRENTICE DR
STE G
HEALDSBURG, CA
ZIP 95448
Phone: (707) 433-0216
Get Directions

NORTHERN CALIFORNIA MEDICAL ASSOC INC is an orthopaedic surgery in Healdsburg, CA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. NORTHERN CALIFORNIA MEDICAL ASSOC INC NPI is 1629193438. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1310 PRENTICE DR
STE G
HEALDSBURG, CA
ZIP 95448-005
Phone: (707) 433-0216
Fax: (707) 433-6674

The provider's authorized official is Ruth Ann 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 3/20/2007 and was last updated on 12/12/2008.


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
1207XX0005XOrthopaedic SurgerySports MedicineNo
2207X00000XOrthopaedic SurgeryYes

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
1ZZZ36779ZOTHERCALIFORNIABLUE SHIELD OF CALIFORNIA
2GR000173HMEDICAIDCALIFORNIA
3ZZZ36779ZMEDICARE PINCALIFORNIA

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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