Northern California Medical Assoc Inc

LBN: Northern California Medical Assoc Inc
Northern California Medical Assoc Inc is an health care organization with primary practice located at 4761 Hoen Ave , Santa Rosa CA 95405-7862. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty. Northern California Medical Assoc Inc can be contacted via phone (707) 545-0570, or through Skidmore, Ruth via phone (707) 573-6933.

Contact Information

Primary practice address
4761 Hoen Ave Santa Rosa CA 95405-7862
Phone: (707) 545-0570
Fax: (707) 545-0575
Website:
Map and Directions
Authorized official contact:
Name: Skidmore, Ruth
Phone: (707) 573-6933

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X

Profile Details

NPI number 1164705174
LBN Legal business name Northern California Medical Assoc Inc
DBA Doing business as
Authorized official Skidmore, Ruth
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2011
Last updated Mar 1st, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164705174 NPPES
California Other CN8040 RAILROAD MEDICARE
California Other ZZZ38300Z RAILROAD MEDICARE

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