NORTHERN CALIFORNIA MEDICAL ASSOC INC
NPI 1124467006
Ophthalmology in Petaluma, CA

Active since June 24, 2013
1383 N MCDOWELL BLVD, STE 100, PETALUMA, CA 94954(707) 763-6400(707) 763-6266 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: August 16, 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 1124467006) is a healthcare organization registered as an ophthalmology in Petaluma, California and active in the NPI registry since June 2013. The organization lists Ruth A Skidmore, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1124467006
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameNORTHERN CALIFORNIA MEDICAL ASSOC INC
Location Address1383 N MCDOWELL BLVD, STE 100Petaluma, CA 94954-1190
Mailing Address3536 Mendocino Ave, Ste 200Santa Rosa, CA 95403-3634 · (707) 525-6485 · Fax (707) 573-6918
Fax(707) 763-6266
Organization SubpartNo
Authorized OfficialRuth A SkidmoreChief Executive Officer · (707) 573-6125
Enumeration DateJune 24, 2013
Last NPPES UpdateMay 5, 2015
NPI 1124467006 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.
1383 N MCDOWELL BLVD, Petaluma, CA 94954

Other Identifiers 2

Medicaid1124467006CA
Medicare PINZZZ21309ZCA

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 8

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

Nurse Practitioner (Family)
1383 N MCDOWELL BLVD
PETALUMA, CA 94954
Clinic/Center (Ambulatory Surgical)
1383 N MCDOWELL BLVD
PETALUMA, CA 94954
Anesthesiology
1383 N MCDOWELL BLVD
PETALUMA, CA 94954
Nurse Practitioner (Family)
1383 N MCDOWELL BLVD, SUITE 110
PETALUMA, CA 94954
Surgery (Plastic and Reconstructive Surgery)
1383 N MCDOWELL BLVD, SUITE 110
PETALUMA, CA 94954
Internal Medicine (Gastroenterology)
1383 N MCDOWELL BLVD, STE110
PETALUMA, CA 94954
Internal Medicine (Gastroenterology)
1383 N MCDOWELL BLVD, STE 110
PETALUMA, CA 94954
Internal Medicine (Gastroenterology)
1383 N MCDOWELL BLVD, STE 110
PETALUMA, CA 94954

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 1124467006. It was assigned to this organization in the NPPES registry on June 24, 2013.

Where is Northern California Medical Assoc Inc located?

Northern California Medical Assoc Inc is located at 1383 N Mcdowell Blvd Ste 100, Petaluma, CA 94954. The listed phone number is (707) 763-6400.

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 May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.