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NORTHERN CALIFORNIA MEDICAL ASSOC INC
NPI 1235138926
Internal Medicine - Cardiovascular Disease in Lakeport, CA

Active since July 15, 2005
5196 HILL RD E, STE 202, LAKEPORT, CA 95453(707) 263-1777(707) 263-8137 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 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 1235138926) is a healthcare organization registered as a cardiovascular disease in Lakeport, California and active in the NPI registry since July 2005. The organization lists Ruth Ann Skidmore, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1235138926
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameNORTHERN CALIFORNIA MEDICAL ASSOC INC
Location Address5196 HILL RD E, STE 202Lakeport, CA 95453-6362
Mailing Address3536 Mendocino Ave, Ste 200Santa Rosa, CA 95403-3634 · (707) 525-6485 · Fax (707) 573-6918
Phone(707) 263-1777
Fax(707) 263-8137
Organization SubpartNo
Authorized OfficialRuth Ann SkidmoreChief Executive Officer · (707) 573-6925
Enumeration DateJuly 15, 2005
Last NPPES UpdateFebruary 9, 2012
✔ NPI 1235138926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X
5196 HILL RD E, Lakeport, CA 95453
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Other Identifiers 3

MedicaidGR000173CCA
Medicare PINZZZ29385ZCA
OtherZZZ29385ZCA · 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 5

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

BRADLEY TRENT CLAIR M.D.
Internal Medicine (Cardiovascular Disease)
5196 HILL RD E, STE 202
LAKEPORT, CA 95453
Lake County (707) 263-1777
KEITH F. KORVER, M.D., INC.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5196 HILL RD E, STE 202
LAKEPORT, CA 95453
Lake County (707) 263-1777
DR. KEITH PHILLIP DONALD M.D.
Surgery
5196 HILL RD E, SUITE 201
LAKEPORT, CA 95453
Lake County (707) 263-4108
SUTTER BAY HOSPITALS
Clinic/Center
5196 HILL RD E, SUITE 300
LAKEPORT, CA 95453
Lake County (707) 263-6885
MRS. NICOLE J WINEGARNER FNP
Nurse Practitioner (Family)
5196 HILL RD E
LAKEPORT, CA 95453
Lake County (707) 263-4108

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 1235138926. It was assigned to this organization in the NPPES registry on July 15, 2005.

Where is Northern California Medical Assoc Inc located?

Northern California Medical Assoc Inc is located at 5196 Hill Rd E Ste 202, Lakeport, CA 95453. The listed phone number is (707) 263-1777.

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 February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.