NORTHERN CALIFORNIA MEDICAL ASSOC INC
NPI 1689671570
Internal Medicine - Cardiovascular Disease in Fort Bragg, CA

Active since July 07, 2005
721 RIVER DR, STE A, FORT BRAGG, CA 95437(707) 573-6166(707) 573-6165 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 1689671570) is a healthcare organization registered as a cardiovascular disease in Fort Bragg, 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

NPI1689671570
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameNORTHERN CALIFORNIA MEDICAL ASSOC INC
Location Address721 RIVER DR, STE AFort Bragg, CA 95437-5402
Mailing Address3536 Mendocino Ave, Ste 200Santa Rosa, CA 95403-3634 · (707) 525-6049 · Fax (707) 573-6918
Fax(707) 573-6165
Organization SubpartNo
Authorized OfficialRuth Ann SkidmoreChief Executive Officer · (707) 573-6925
Enumeration DateJuly 7, 2005
Last NPPES UpdateFebruary 9, 2012
NPI 1689671570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
721 RIVER DR, Fort Bragg, CA 95437

Other Identifiers 3

OtherZZZ01804ZCA · Blue Shield Of California
Medicare PINZZZ21309ZCA
MedicaidGR000173ACA

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.

Surgery
721 RIVER DR, SUITE B
FORT BRAGG, CA 95437
Clinic/Center (Multi-Specialty)
721 RIVER DR, SUITE C
FORT BRAGG, CA 95437
Family Medicine
721 RIVER DR, SUITE A
FORT BRAGG, CA 95437
Orthopaedic Surgery
721 RIVER DR, SUITE B
FORT BRAGG, CA 95437
Thoracic Surgery (Cardiothoracic Vascular Surgery)
721 RIVER DR, STE A
FORT BRAGG, CA 95437
Family Medicine
721 RIVER DR, SUITE A
FORT BRAGG, CA 95437
Internal Medicine
721 RIVER DR, SUITE A
FORT BRAGG, CA 95437
Physician Assistant
721 RIVER DR, SUITE A
FORT BRAGG, CA 95437

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 1689671570. It was assigned to this organization in the NPPES registry on July 7, 2005.

Where is Northern California Medical Assoc Inc located?

Northern California Medical Assoc Inc is located at 721 River Dr Ste A, Fort Bragg, CA 95437. 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 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.