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NORTHERN CALIFORNIA MEDICAL ASSOC INC
NPI 1063780468
Ophthalmology in Santa Rosa, CA

Active since December 13, 2011
1017 2ND ST, SANTA ROSA, CA 95404(707) 546-9800(707) 546-4112 Get Directions Write a Review

NPPES record last updated: March 22, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Northern California Medical Assoc Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN CALIFORNIA MEDICAL ASSOC INC (NPI 1063780468) is a healthcare organization registered as an ophthalmology in Santa Rosa, California and active in the NPI registry since December 2011. The organization lists Ruth A Skidmore, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1063780468
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameNORTHERN CALIFORNIA MEDICAL ASSOC INC
Location Address1017 2ND STSanta Rosa, CA 95404-6608
Mailing Address3536 Mendocino Ave, Ste 200Santa Rosa, CA 95403-3634 · (707) 525-6485 · Fax (707) 573-6918
Phone(707) 546-9800
Fax(707) 546-4112
Organization SubpartNo
Authorized OfficialRuth A SkidmoreChief Executive Officer · (707) 573-6925
Enumeration DateDecember 13, 2011
Last NPPES UpdateMarch 22, 2012
✔ NPI 1063780468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1017 2ND ST, Santa Rosa, CA 95404
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Other Identifiers 3

OtherZZZ69577YCA · Blue Shield
OtherCN8040CA · Railroad Medicare
Medicare PINZZZ06925ZCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KALANE JADE WONG M.D.
Ophthalmology
1017 2ND ST
SANTA ROSA, CA 95404
Sonoma County (707) 546-9800
ROBERT LOUIS ANDERSON M.D.
Ophthalmology
1017 2ND ST
SANTA ROSA, CA 95404
Sonoma County (707) 546-9800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northern California Medical Assoc Inc's NPI number?

The NPI number for Northern California Medical Assoc Inc is 1063780468. It was assigned to this organization in the NPPES registry on December 13, 2011.

Where is Northern California Medical Assoc Inc located?

Northern California Medical Assoc Inc is located at 1017 2nd St, Santa Rosa, CA 95404. The listed phone number is (707) 546-9800.

What is Northern California Medical Assoc Inc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Northern California Medical Assoc Inc was last updated on March 22, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.