| Northern California Medical Assoc Inc | |
|
3536 Mendocino Ave Ste 300 Santa Rosa CA 95403-3634 | |
| (707) 544-3811 | |
| (707) 544-0128 |
| Full Name | Northern California Medical Assoc Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3536 Mendocino Ave Ste 300, Santa Rosa, California |
| Authorized Official Name and Position | Ruth A Skidmore (CEO) |
| 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 3536 Mendocino Ave Ste 300 Santa Rosa CA 95403-3634 Ph: (707) 544-3811 |
| NPI Number | 1811163934 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 03/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811163934 | NPI | - | NPPES |
| ZZZ53246Y | Other | CA | BS OF CALIFORNIA |
| CN8040 | Other | CA | RAILROAD MEDICARE |
| 1811163934 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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