Northern California Medical Assoc Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

NORTHERN CALIFORNIA MEDICAL ASSOC INC

Practice address

717 Center St
Healdsburg, CA 95448-3604

Phone

(707) 433-7214

Fax

(707) 433-8642

NPI assigned

Jul 18, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Ruth Ann Skidmore

Title

Chief Executive Officer

Phone

(707) 573-6925

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1073512661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 MENDOCINO AVE",
            "address_2": "STE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033634",
            "telephone_number": "707-525-6485",
            "fax_number": "707-573-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 CENTER ST",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483604",
            "telephone_number": "707-433-7214",
            "fax_number": "707-433-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA MEDICAL ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "SKIDMORE",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "707-573-6925",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ00204Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR000173T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Sonoma County Health Care District (Healdsburg District Hospital)
• North Sonoma County Health Care District (Healdsburg District Hospital)
• North Sonoma County Health Care District
• North Sonoma County Health Care District (Healdsburg District Hospital)
• North Sonoma County Healthcxare District (North Sonoma County Healthcare Services)
• Northern California Medical Assoc Inc (Northern California Medical Associates, Inc.)
• Northern California Medical Assoc Inc
• Jennifer Bishop Nunez, D.D.S.
• Emily O'Keefe
• Grace S. Ouchida, L.AC.

• Cardiovascular Disease Physician in Healdsburg, CA
• Providers in Healdsburg, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.