NORTHERN CALIFORNIA MEDICAL ASSOC INC
NPI 1174525554
Internal Medicine - Cardiovascular Disease in Willits, CA

Q: What is Northern California Medical Assoc Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since August 15, 2005

84 MADRONE ST, WILLITS, CA 95490(707) 459-6855(707) 459-9585 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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 1174525554) is a healthcare organization registered as a cardiovascular disease in Willits, California and active in the NPI registry since August 2005. The organization lists Ruth Ann Skidmore, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1174525554

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameNORTHERN CALIFORNIA MEDICAL ASSOC INC

Location Address84 MADRONE STWillits, CA 95490-4249

Mailing Address3536 Mendocino Ave, Ste 200Santa Rosa, CA 95403-3634 · (707) 525-6485 · Fax (707) 573-6918

Phone(707) 459-6855

Fax(707) 459-9585

Organization SubpartNo

Authorized OfficialRuth Ann SkidmoreChief Executive Officer · (707) 573-6925

Enumeration DateAugust 15, 2005

Last NPPES UpdateFebruary 9, 2012

✔ NPI 1174525554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X

84 MADRONE ST, Willits, CA 95490

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Other Identifiers 3

MedicaidGR0001732CA

Medicare PINZZZ31951ZCA

OtherZZZ45620ZCA · Blue Shield Of California

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 11

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

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