NORTHERN CALIFORNIA MEDICAL ASSOC INC (NPI# 1114465614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114465614 |
| Entity Type | Organization |
| Organization Name | NORTHERN CALIFORNIA MEDICAL ASSOC INC |
| Other Organization Name | NORTHERN CALIFORNIA MEDICAL ASSOCIATES, INC. |
| Practice Address |
810 Healdsburg Ave Healdsburg CA 95448-3613 |
| Mailing Address |
3536 Mendocino Ave Ste 200 Santa Rosa CA 95403-3634 |
| Practice Telephone | 7073580222 |
| Practice Fax Number | 7073850109 |
| Mailing Telephone | 7075256485 |
| Mailing Fax Number | 7075736918 |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-04-17 |
| Authorized Official Name | RUTH A. SKIDMORE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7075736933 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
C54138 | CA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | C54138 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Northern California Medical Associates, Inc. | Doing Business As Name - Organization |
| 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 |
810 HEALDSBURG AVE |
| City | HEALDSBURG |
| State | CA |
| Zip Code | 95448-3613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124078365 | Rachel Mayorga | Internal Medicine | 810 Healdsburg Ave, Healdsburg, CA 95448-3613 | 2006-05-10 |
| 1255738613 | Dr Rachel Mayorga Md PC | Clinic/Center | 810 Healdsburg Ave, Healdsburg, CA 95448-3613 | 2014-12-01 |
| 1316215197 | Barbara Jeanne Young | Marriage & Family Therapist | 810 Healdsburg Ave, Healdsburg, CA 95448-3613 | 2011-12-07 |
| 1487981148 | Lucinda Rose Kotter | Acupuncturist | 810 Healdsburg Ave, Healdsburg, CA 95448 | 2009-11-17 |
| 1982732723 | Deborah S. Karish | Chiropractor | 810 Healdsburg Ave, Healdsburg, CA 95448-3613 | 2007-03-02 |
| 1194874503 | Nedda A Rovelli | Chiropractor | 810 Healdsburg Ave, Healdsburg, CA 95448-3613 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891342002 | Linda Lazzar Friend | Marriage & Family Therapist | 2800 Hilltop Rd., Healdsburg, CA 95448 | 2019-08-22 |
| 1184124513 | Pacifica Sl Grove Street Lp | Alzheimer Center (Dementia Center) | 725 Grove Street, Healdsburg, CA 95448 | 2018-02-12 |
| 1073049284 | Jennifer Gnass | Counselor | 536 March Ave, Healdsburg, CA 95448 | 2017-05-08 |
| 1538523105 | Zormeier Cosmetic Surgery & Longevity Center | Plastic Surgery | 431 East Street Ste B, Healdsburg, CA 95448 | 2016-04-11 |
| 1619180700 | Sharron Levinger Rudell | Marriage & Family Therapist | 459 Hudson St, Healdsburg, CA 95448 | 2007-05-07 |
| 1932224490 | Stanley Winstonj Jacobs | Specialist | 145 Foss Creek Cir., Healdsburg, CA 95448 | 2007-03-20 |
| 1821126491 | Eric Culbertson | Surgery | 145 Foss Creek Cir, Healdsburg, CA 95448 | 2007-03-02 |
| 1265508790 | Stanley D Davis | Psychiatry & Neurology | 451 A March Ave, Healdsburg, CA 95448 | 2006-11-27 |
| 1306910559 | Christine Naber | Clinical Neuropsychologist | 455 March Ave Ste A, Healdsburg, CA 95448 | 2006-11-20 |
| 1700978947 | Marc Alexander | Dentist | 125 Grant Street, Healdsburg, CA 95448 | 2006-09-28 |
| Find all providers in zip 95448 | ||||
| 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 |
|---|---|---|---|---|
| 1285746040 | Richard R Ganz | Internal Medicine | 455 March Ave Suite C, Healdsburg, CA 95448-3378 | 2006-08-31 |
| 1386042489 | Dr Ghazaleh Bahrami Professional Corporation | Internal Medicine | 1375 University St, Healdsburg, CA 95448-3382 | 2014-12-05 |
| 1336541721 | Tehco | Internal Medicine | 1375 University St, Healdsburg, CA 95448 | 2014-09-17 |
| 1407275134 | Babar Saeed Md Inc | Internal Medicine | 1375 University St, Healdsburg, CA 95448-3382 | 2014-04-09 |
| 1235550351 | Attila Mady | Internal Medicine | 1375 University St, Healdsburg, CA 95448-3382 | 2013-12-16 |
| 1093989618 | Babar Saeed | Internal Medicine | 1375 University St, Healdsburg, CA 95448-3382 | 2008-04-15 |
| 1265622286 | Jose Adolfo Chibras Sainz | Internal Medicine | 1381 University St, Healdsburg, CA 95448-3314 | 2007-07-26 |
| 1821134511 | Healdsburg Primary Care, A Medical Corporation | Internal Medicine | 1312 Prentice Drive, Healdsburg, CA 95448 | 2007-01-29 |
| 1639242696 | Patricia Dahl | Internal Medicine | 717 Center St, Healdsburg, CA 95448-3604 | 2006-11-16 |
| 1205906021 | Thea J Drayer | Internal Medicine | 1312 Prentice Drive, Healdsburg, CA 95448 | 2006-11-09 |
| Find all providers in HEALDSBURG | ||||
| City | HEALDSBURG |
| Zip Code | 95448 |
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.