NORTHERN CALIFORNIA MEDICAL ASSOC INC (NPI# 1093713778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093713778 |
| Entity Type | Organization |
| Organization Name | NORTHERN CALIFORNIA MEDICAL ASSOC INC |
| Practice Address |
3536 Mendocino Ave Ste 300 Santa Rosa CA 95403 |
| Mailing Address |
3536 Mendocino Ave Ste 200 Santa Rosa CA 95403-3634 |
| Practice Telephone | 7075736942 |
| Practice Fax Number | 7075756038 |
| Mailing Telephone | 7075756049 |
| Mailing Fax Number | 7075756038 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2018-08-07 |
| Authorized Official Name | MS. RUTH ANN SKIDMORE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7075736925 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR000173F | 05 | |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZ29088Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922640820 | Northern California Medical Assoc Inc | Internal Medicine | 830 2nd St Ste A, Santa Rosa, CA 95404-4620 | 2019-10-11 |
| 1235782921 | Northern California Medical Assoc Inc | Dermatology | 4727 Hoen Ave Ste A, Santa Rosa, CA 95405-7898 | 2019-07-22 |
| 1427509959 | Northern California Medical Assoc Inc | Dermatology | 555 S Dora St Ste B, Ukiah, CA 95482-5424 | 2016-10-19 |
| 1275945958 | Northern California Medical Assoc Inc | Dermatology | 1165 South Dora St, Ste G2, Ukiah, CA 95482-6353 | 2014-05-29 |
| 1225330459 | Northern California Medical Assoc Inc | Internal Medicine | 153 W Spruce St, Fort Bragg, CA 95437-3024 | 2010-11-19 |
| 1245492321 | Northern California Medical Assoc Inc | Podiatrist | 1701 4th St Ste 100, Santa Rosa, CA 95404 | 2008-06-30 |
| 1548262926 | Northern California Medical Assoc Inc | Internal Medicine | 558 3rd St W, Sonoma, CA 95476-6502 | 2005-08-15 |
| 1174525554 | Northern California Medical Assoc Inc | Internal Medicine | 84 Madrone St, Willits, CA 95490-4249 | 2005-08-15 |
| 1760481204 | Northern California Medical Assoc Inc | Internal Medicine | 4702 Hoen Ave, Santa Rosa, CA 95405-7824 | 2005-07-18 |
| 1073512661 | Northern California Medical Assoc Inc | Internal Medicine | 717 Center St, Healdsburg, CA 95448-3604 | 2005-07-18 |
| Street Address |
3536 MENDOCINO AVE STE 300 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425914 | Patrick J Caskey | Ophthalmology | 3536 Mendocino Ave, Ste 380, Santa Rosa, CA 95403-3612 | 2005-05-24 |
| 1134517139 | Emine C. Loxley Dmd, PC | Clinic/Center | 3536 Mendocino Ave, Suite 330, Santa Rosa, CA 95403-3634 | 2014-12-30 |
| 1295152379 | Matthew Armstrong Powers | Student in an Organized Health Care Education/Training Program | 3536 Mendocino Ave, Ste 380, Santa Rosa, CA 95403-3612 | 2014-03-26 |
| 1083954515 | Deborah Ann Magee | Nurse Practitioner | 3536 Mendocino Ave, Suite 200, Santa Rosa, CA 95403-3634 | 2013-02-20 |
| 1407145477 | Nayabei Barretto | Nurse Practitioner | 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 | 2011-03-30 |
| 1811128275 | Kimberly Brayton Brayton | Internal Medicine | 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 | 2009-08-03 |
| 1144455825 | Vishal Ghanshyam Patel | Internal Medicine | 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 | 2009-05-25 |
| 1881844397 | Deborah Wolff-baker | Nurse Practitioner | 3536 Mendocino Ave, Ste 300, Santa Rosa, CA 95403-3634 | 2008-09-22 |
| 1356540272 | Jaime Jeremy Molden | Internal Medicine | 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 | 2007-07-11 |
| 1972704542 | Sutter Medical Foundation | Surgery | 3536 Mendocino Ave, Suite 300, Santa Rosa, CA 95403-3634 | 2007-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922640820 | Northern California Medical Assoc Inc | Internal Medicine | 830 2nd St Ste A, Santa Rosa, CA 95404-4620 | 2019-10-11 |
| 1457613275 | Shelleen E. Denno, Md, Inc. | Internal Medicine | 2285 Olivet Ln, Santa Rosa, CA 95401-3860 | 2012-06-08 |
| 1043509920 | Ann Katz Press | Internal Medicine | 30 Mark West Springs Rd Ofc, Santa Rosa, CA 95403-1436 | 2011-03-31 |
| 1376786947 | Jaya Reddy Mallidi | Internal Medicine | 500 Doyle Park Dr Ste G05, Santa Rosa, CA 95405-4555 | 2009-04-13 |
| 1003072851 | Sutter Medical Group of The Redwoods | Internal Medicine | 4725a Hoen Ave, Santa Rosa, CA 95405-7862 | 2008-07-31 |
| 1639355266 | North Coast Hospitalist, PC | Internal Medicine | 122 Calistoga Rd, 305, Santa Rosa, CA 95409-3702 | 2008-01-14 |
| 1932388659 | Jennifer Nguyen Hubert, D.o., Inc | Internal Medicine | 1014 Hopper Ave, # 615, Santa Rosa, CA 95403-1613 | 2007-10-30 |
| 1144412560 | Zeyad Hashem Kanaan | Internal Medicine | 3883 Airway Dr Ste 220, Santa Rosa, CA 95403 | 2007-08-10 |
| 1447451935 | Todd Jay Hofeling | Internal Medicine | 3883 Airway Dr Ste 130, Santa Rosa, CA 95403 | 2007-05-30 |
| 1932244779 | John Mcdougall | Internal Medicine | 2777 4th St, Santa Rosa, CA 95405-4795 | 2007-02-20 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on NORTHERN CALIFORNIA MEDICAL ASSOC INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.