NORTHERN CALIFORNIA MEDICAL ASSOC INC NPI 1811163934

NPI Information

NPI: 1811163934
Provider Name: NORTHERN CALIFORNIA MEDICAL ASSOC INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3536 MENDOCINO AVE STE 300
SANTA ROSA, CA
ZIP 95403
Phone: (707) 544-3811
Get Directions

NORTHERN CALIFORNIA MEDICAL ASSOC INC is a family medicine in Santa Rosa, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NORTHERN CALIFORNIA MEDICAL ASSOC INC NPI is 1811163934. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3536 MENDOCINO AVE STE 300
SANTA ROSA, CA
ZIP 95403-634
Phone: (707) 544-3811
Fax: (707) 544-0128

The provider's authorized official is Ruth A Skidmore .
The authorized official title is Ceo and has the following contact phone number (707) 573-6925.

The enumeration date for this NPI number is 5/8/2008 and was last updated on 3/20/2019.

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	207Q00000X	Family Medicine				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	1811163934	MEDICAID	CALIFORNIA
2	CN8040	OTHER	CALIFORNIA	RAILROAD MEDICARE
3	ZZZ53246Y	OTHER	CALIFORNIA	BS OF 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

NPI Synchronization or Removal

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