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NORTHERN CALIFORNIA MEDICAL ASSOC INC
NPI 1649279233
Internal Medicine - Cardiovascular Disease in Gualala, CA

Active since July 18, 2005
46900 OCEAN DR, GUALALA, CA 95445(707) 573-6166(707) 573-6165 Get Directions Write a Review

NPPES record last updated: July 9, 2015. 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 1649279233) is a healthcare organization registered as a cardiovascular disease in Gualala, 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

NPI1649279233
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameNORTHERN CALIFORNIA MEDICAL ASSOC INC
Location Address46900 OCEAN DRGualala, CA 95445-8353
Mailing Address3536 Mendocino Ave, Ste 200Santa Rosa, CA 95403-3634 · (707) 525-6485 · Fax (707) 573-6918
Phone(707) 573-6166
Fax(707) 573-6165
Organization SubpartNo
Authorized OfficialRuth Ann SkidmoreChief Executive Officer · (707) 573-6925
Enumeration DateJuly 18, 2005
Last NPPES UpdateJuly 9, 2015
✔ NPI 1649279233 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 ListedOphthalmologyTaxonomy 207W00000X
46900 OCEAN DR, Gualala, CA 95445
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Other Identifiers 3

OtherZZZ36940ZCA · Blue Shield Of California
MedicaidGR000173BCA
Medicare PINZZZ36940ZCA

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 10

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

MR. LEON KOENCK PA C
Physician Assistant
46900 OCEAN DR, STE 1100
GUALALA, CA 95445
Mendocino County (707) 884-4005
LAUNDON TRANSUE
Physician Assistant
46900 OCEAN DR
GUALALA, CA 95445
Mendocino County (707) 884-4005
DR. MARK KAL M.D.
Family Medicine
46900 OCEAN DR
GUALALA, CA 95445
Mendocino County (707) 884-4005
LOIS FALK N.P.
Nurse Practitioner
46900 OCEAN DR
GUALALA, CA 95445
Mendocino County (707) 884-4005
ADELE ZITA RN
Registered Nurse
46900 OCEAN DR
GUALALA, CA 95445
Mendocino County (707) 884-4005
ROBERTA U. RAMS D.D.S.
Dentist (General Practice)
46900 OCEAN DR
GUALALA, CA 95445
Mendocino County (707) 884-4005
CAITHLEEN PATERSON ZIKORUS N.P.
Nurse Practitioner (Family)
46900 OCEAN DR
GUALALA, CA 95445
Mendocino County (707) 884-4005
ELIZABETH J NAGLE FNP
Nurse Practitioner (Family)
46900 OCEAN DR
GUALALA, CA 95445
Mendocino County (707) 884-4005

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 1649279233. It was assigned to this organization in the NPPES registry on July 18, 2005.

Where is Northern California Medical Assoc Inc located?

Northern California Medical Assoc Inc is located at 46900 Ocean Dr, Gualala, CA 95445. The listed phone number is (707) 573-6166.

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 July 9, 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.