| Northern California Medical Assoc Inc | |
|
3536 Mendocino Ave Ste 300 Santa Rosa CA 95403 | |
| (707) 573-6942 | |
| (707) 575-6038 |
| Full Name | Northern California Medical Assoc Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3536 Mendocino Ave, Santa Rosa, California |
| Authorized Official Name and Position | Ruth Ann Skidmore (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7075736925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern California Medical Assoc Inc 3536 Mendocino Ave Ste 200 Santa Rosa CA 95403-3634 Ph: (707) 575-6049 | Northern California Medical Assoc Inc 3536 Mendocino Ave Ste 300 Santa Rosa CA 95403 Ph: (707) 573-6942 |
| NPI Number | 1093713778 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 08/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093713778 | NPI | - | NPPES |
| GR000173F | Medicaid | CA | |
| ZZZ29088Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
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