NORTHERN CALIFORNIA MEDICAL ASSOC INC
NPI 1184845182
Internal Medicine - Cardiovascular Disease in Sebastopol, CA

Active since May 01, 2007
652 PETALUMA AVE, STE E, SEBASTOPOL, CA 95472(707) 573-6166(707) 573-6165 Get Directions Write a Review

NPPES record last updated: October 1, 2007. 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 1184845182) is a healthcare organization registered as a cardiovascular disease in Sebastopol, California and active in the NPI registry since May 2007. The organization lists Ruth A. Skidmore, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1184845182
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameNORTHERN CALIFORNIA MEDICAL ASSOC INC
Location Address652 PETALUMA AVE, STE ESebastopol, CA 95472-4266
Mailing Address3536 Mendocino Ave, Ste 200Santa Rosa, CA 95403-3634 · (707) 525-6485 · Fax (707) 573-6918
Fax(707) 573-6165
Organization SubpartNo
Authorized OfficialRuth A. SkidmoreChief Executive Officer · (707) 573-6925
Enumeration DateMay 1, 2007
Last NPPES UpdateOctober 1, 2007
NPI 1184845182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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.
652 PETALUMA AVE, Sebastopol, CA 95472

Other Identifiers 3

OtherZZZ36920ZCA · Blue Shield Of California
Medicare PINZZZ37618ZCA
MedicaidGR000173JCA

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 17

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

Family Medicine
652 PETALUMA AVE, SUITE F
SEBASTOPOL, CA 95472
Clinic/Center (Multi-Specialty)
652 PETALUMA AVE, SUITE H
SEBASTOPOL, CA 95472
Psychologist (Clinical)
652 PETALUMA AVE
SEBASTOPOL, CA 95472
Social Worker (Clinical)
652 PETALUMA AVE
SEBASTOPOL, CA 95472
Family Medicine
652 PETALUMA AVE, SUITE F
SEBASTOPOL, CA 95472
Family Medicine
652 PETALUMA AVE, SUITE F
SEBASTOPOL, CA 95472
Social Worker (Clinical)
652 PETALUMA AVE
SEBASTOPOL, CA 95472
Nurse Practitioner (Family)
652 PETALUMA AVE
SEBASTOPOL, CA 95472

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 1184845182. It was assigned to this organization in the NPPES registry on May 1, 2007.

Where is Northern California Medical Assoc Inc located?

Northern California Medical Assoc Inc is located at 652 Petaluma Ave Ste E, Sebastopol, CA 95472. The listed phone number is (707) 573-6166.

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.

When was this NPI record last updated?

The NPPES record for Northern California Medical Assoc Inc was last updated on October 1, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.