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NORTHERN CALIFORNIA MEDICAL ASSOC INC
NPI 1164705174
Podiatrist in Santa Rosa, CA

Active since September 26, 2011
4761 HOEN AVE, SANTA ROSA, CA 95405(707) 545-0570(707) 545-0575 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: July 26, 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 1164705174) is a healthcare organization registered as a podiatrist in Santa Rosa, California and active in the NPI registry since September 2011. The organization lists Ruth Skidmore, Cheif Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1164705174
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameNORTHERN CALIFORNIA MEDICAL ASSOC INC
Location Address4761 HOEN AVESanta Rosa, CA 95405-7862
Mailing Address3536 Mendocino Ave, 200Santa Rosa, CA 95403-3634 · (707) 575-6049 · Fax (707) 545-0575
Phone(707) 545-0570
Fax(707) 545-0575
Organization SubpartNo
Authorized OfficialRuth SkidmoreCheif Executive Officer · (707) 573-6933
Enumeration DateSeptember 26, 2011
Last NPPES UpdateMarch 1, 2012
✔ NPI 1164705174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
4761 HOEN AVE, Santa Rosa, CA 95405
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Other Identifiers 4

OtherCN8040CA · Railroad Medicare
Medicare NSC0367150003CA
OtherZZZ38300ZCA · Blue Shield
Medicare PINFM900ACA

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 3

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

STEVEN PARK KIM D.P.M.
Podiatrist (Foot & Ankle Surgery)
4761 HOEN AVE
SANTA ROSA, CA 95405
Sonoma County (707) 545-0570
DR. NICHOLAS JOHN CHARLTON DC
Chiropractor
4761 HOEN AVE
SANTA ROSA, CA 95405
Sonoma County (707) 575-8988
DR. TONY CHIEN NGUYEN D.P.M.
Podiatrist (Foot & Ankle Surgery)
4761 HOEN AVE
SANTA ROSA, CA 95405
Sonoma County (707) 545-0570

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 1164705174. It was assigned to this organization in the NPPES registry on September 26, 2011.

Where is Northern California Medical Assoc Inc located?

Northern California Medical Assoc Inc is located at 4761 Hoen Ave, Santa Rosa, CA 95405. The listed phone number is (707) 545-0570.

What is Northern California Medical Assoc Inc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Northern California Medical Assoc Inc was last updated on March 1, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.