1. Home
  2. Directory
  3. California
  4. Lakeport
  5. Podiatrist
  6. NPI Profile

NORTHERN CALIFORNIA MEDICAL ASSOC INC
NPI 1619390077
Podiatrist in Lakeport, CA

Active since January 21, 2014
175 PARK ST, LAKEPORT, CA 95453(707) 263-9595(707) 263-5576 Get Directions Write a Review

NPPES record last updated: May 5, 2015. 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 1619390077) is a healthcare organization registered as a podiatrist in Lakeport, California and active in the NPI registry since January 2014. The organization lists Ruth A Skidmore, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1619390077
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameNORTHERN CALIFORNIA MEDICAL ASSOC INC
Location Address175 PARK STLakeport, CA 95453-4803
Mailing Address3536 Mendocino Ave, Ste 200Santa Rosa, CA 95403-3634 · (707) 525-6485 · Fax (707) 573-6918
Phone(707) 263-9595
Fax(707) 263-5576
Organization SubpartNo
Authorized OfficialRuth A SkidmoreChief Executive Officer · (707) 573-6925
Enumeration DateJanuary 21, 2014
Last NPPES UpdateMay 5, 2015
✔ NPI 1619390077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
175 PARK ST, Lakeport, CA 95453
Open in Google Maps ↗

Other Identifiers 1

Medicare PINAY190CA

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.

JAMES M HAGAN DPM
Podiatrist
175 PARK ST
LAKEPORT, CA 95453
Lake County (707) 263-9595
NORTH BAY FOOT AND ANKLE CLINIC INC
Podiatrist (Foot & Ankle Surgery)
175 PARK ST
LAKEPORT, CA 95453
Lake County (707) 263-9595
ADELINA B STATEVA D.P.M.
Podiatrist
175 PARK ST
LAKEPORT, CA 95453
Lake County (707) 263-9595
DR. BRIAN PATRICK KAYE DPM
Podiatrist (Foot & Ankle Surgery)
175 PARK ST
LAKEPORT, CA 95453
Lake County (707) 263-9595
PARKVIEW PODIATRY
Podiatrist (Foot & Ankle Surgery)
175 PARK ST
LAKEPORT, CA 95453
Lake County (707) 263-9595

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 1619390077. It was assigned to this organization in the NPPES registry on January 21, 2014.

Where is Northern California Medical Assoc Inc located?

Northern California Medical Assoc Inc is located at 175 Park St, Lakeport, CA 95453. The listed phone number is (707) 263-9595.

What is Northern California Medical Assoc Inc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Northern California Medical Assoc Inc was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.