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: July 19, 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.Information from the official NPPES registry record.

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
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

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

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Podiatrist
175 PARK ST
LAKEPORT, CA 95453
Podiatrist (Foot & Ankle Surgery)
175 PARK ST
LAKEPORT, CA 95453
Podiatrist
175 PARK ST
LAKEPORT, CA 95453
Podiatrist (Foot & Ankle Surgery)
175 PARK ST
LAKEPORT, CA 95453
Podiatrist (Foot & Ankle Surgery)
175 PARK ST
LAKEPORT, CA 95453
Podiatrist (Foot & Ankle Surgery)
175 PARK ST
LAKEPORT, CA 95453

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619390077, enumerated as an "organization" on January 21, 2014.

The provider is located at 175 PARK ST LAKEPORT, CA 95453 and the phone number is (707) 263-9595.

Podiatrist with taxonomy code 213E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.