| Northern California Medical Assoc Inc | |
|
4702 Hoen Ave Santa Rosa CA 95405-7824 | |
| (707) 546-2180 | |
| (707) 546-2188 |
| Full Name | Northern California Medical Assoc Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4702 Hoen 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) 525-6485 | Northern California Medical Assoc Inc 4702 Hoen Ave Santa Rosa CA 95405-7824 Ph: (707) 546-2180 |
| NPI Number | 1760481204 |
|---|---|
| Provider Enumeration Date | 07/18/2005 |
| Last Update Date | 10/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760481204 | NPI | - | NPPES |
| GR000173G | Medicaid | CA | |
| ZZZ41791Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
Sutter Medical Group Of The Redwoods Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4725a Hoen Ave, Santa Rosa, CA 95405 Phone: 707-576-3322 | |
Elyse R. Eisenberg, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 Farmers Ln, Ste 10, Santa Rosa, CA 95405 Phone: 707-523-3375 Fax: 866-870-0815 | |
Sutter Medical Group Of The Redwoods Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4750 Hoen Ave, Santa Rosa, CA 95405 Phone: 707-523-2666 Fax: 707-523-3399 | |
St Joseph Heritage Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4750 Hoen Ave, Santa Rosa, CA 95405 Phone: 707-542-1611 Fax: 707-542-9958 | |
Thomas M. Collins Chiropractic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 Farmers Ln, Suite 2, Santa Rosa, CA 95405 Phone: 707-566-7396 Fax: 707-566-7398 | |
Vanguard Performance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2901 Cleveland Ave Ste 202, Santa Rosa, CA 95403 Phone: 707-968-1555 Fax: 844-426-0134 | |
Sonoma County Junior College District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 Mendocino Ave, Santa Rosa, CA 95401 Phone: 707-527-4445 Fax: 707-524-1858 |