NORTHERN CALIFORNIA MEDICAL ASSOC INC
NPI 1396040226
Otolaryngology in Santa Rosa, CA

Active since January 25, 2011
1701 4TH ST, STE 120, SANTA ROSA, CA 95404(707) 523-7025(707) 523-3024 Get Directions Write a Review

NPPES record last updated: November 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 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 1396040226) is a healthcare organization registered as an otolaryngology in Santa Rosa, California and active in the NPI registry since January 2011. The organization lists Ruth A Skidmore, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1396040226
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameNORTHERN CALIFORNIA MEDICAL ASSOC INC
Location Address1701 4TH ST, STE 120Santa Rosa, CA 95404-3661
Mailing Address3536 Mendocino Ave, Ste 200Santa Rosa, CA 95403-3634 · (707) 575-6049 · Fax (707) 523-3024
Fax(707) 523-3024
Organization SubpartNo
Authorized OfficialRuth A SkidmoreChief Executive Officer · (707) 525-6925
Enumeration DateJanuary 25, 2011
Last NPPES UpdateNovember 5, 2018
NPI 1396040226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X
Also ListedAudiologistTaxonomy 231H00000X
1701 4TH ST, Santa Rosa, CA 95404

Other Identifiers 3

Medicaid1396040226CA
OtherZZZ38629ZCA · Blue Shield
OtherCN8040CA · Railroad Medicare

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.

Urology
1701 4TH ST, SUITE 200
SANTA ROSA, CA 95404
Audiologist
1701 4TH ST, SUITE 120
SANTA ROSA, CA 95404
Radiology (Diagnostic Radiology)
1701 4TH ST
SANTA ROSA, CA 95404
Otolaryngology
1701 4TH ST, STE 120
SANTA ROSA, CA 95404
Surgery
1701 4TH ST, STE 200
SANTA ROSA, CA 95404
Audiologist
1701 4TH ST, STE 120
SANTA ROSA, CA 95404
Urology
1701 4TH ST, SUITE 200
SANTA ROSA, CA 95404
Surgery
1701 4TH ST, STE 200
SANTA ROSA, CA 95404

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 1396040226. It was assigned to this organization in the NPPES registry on January 25, 2011.

Where is Northern California Medical Assoc Inc located?

Northern California Medical Assoc Inc is located at 1701 4th St Ste 120, Santa Rosa, CA 95404. The listed phone number is (707) 523-7025.

What is Northern California Medical Assoc Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Northern California Medical Assoc Inc was last updated on November 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.