Northern California Medical Assoc Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C54138 Issued in CA

Legal business name

NORTHERN CALIFORNIA MEDICAL ASSOC INC

Doing business as

Northern California Medical Associates, Inc.

Practice address

810 Healdsburg Ave
Healdsburg, CA 95448-3613

Phone

(707) 358-0222

Fax

(707) 385-0109

NPI assigned

Feb 3, 2017

Organization subpart

No

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

Authorized official

Name

Ruth A. Skidmore

Title

Chief Executive Officer

Phone

(707) 573-6933

Specialties & licenses 3

Addresses

Other names 1

• Northern California Medical Associates, Inc. Doing business as

Locations

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1114465614",
    "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": "707-573-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HEALDSBURG AVE",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483613",
            "telephone_number": "707-358-0222",
            "fax_number": "707-385-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA MEDICAL ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "SKIDMORE",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "707-573-6933"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C54138",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "C54138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern California Medical Associates, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 Assoc Inc
• Jennifer Bishop Nunez, D.D.S.
• Emily O'Keefe
• Grace S. Ouchida, L.AC.
• Kerith Lea Overstreet, M.D.

• Internal Medicine Physician in Healdsburg, CA
• Providers in Healdsburg, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.