NORTHERN CALIFORNIA MEDICAL ASSOC INC
NPI 1225330459
Internal Medicine - Pulmonary Disease in Fort Bragg, CA
- Organization
- Internal Medicine
- Pulmonary Disease
About NORTHERN CALIFORNIA MEDICAL ASSOC INC
This page provides the complete NPI Profile along with additional information for Northern California Medical Assoc Inc, an internist established in Fort Bragg, California operating as a Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1225330459 assigned on November 2010. The practitioner's primary taxonomy code is 207RP1001X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Northern California Medical Assoc Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ms. Ruth A Skidmore (Chief Executive Officer)
- NPI
- 1225330459 Verify this NPI
- Provider Name
- NORTHERN CALIFORNIA MEDICAL ASSOC INC
- Entity Type
- Organization
- Location Address
- 153 W SPRUCE ST FORT BRAGG, CA 95437
- Location Phone
- (707) 462-1516
- Location Fax
- (707) 462-1178
- Mailing Address
- 3536 MENDOCINO AVE STE 200 SANTA ROSA, CA 95403
- Mailing Phone
- (707) 575-6049
- Mailing Fax
- (707) 573-6918
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-19-2010
- Last Update Date
- 02-09-2012
- Code Navigator
An internist like Northern California Medical Assoc Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Pulmonary Disease
- Taxonomy Code
- 207RP1001X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207RS0012X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1225330459 | MEDICAID (05) | CA | |
| ZZZ21309Z | MEDICARE PIN (08) | CA | |
| ZZZ36793Z | OTHER (01) | CA | BLUE SHIELD |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225330459, enumerated as an "organization" on November 19, 2010.
The provider is located at 153 W SPRUCE ST FORT BRAGG, CA 95437 and the phone number is (707) 462-1516.
Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
