NORTHERN CALIFORNIA MEDICAL ASSOC INC (NPI# 1629193438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629193438 |
| Entity Type | Organization |
| Organization Name | NORTHERN CALIFORNIA MEDICAL ASSOC INC |
| Practice Address |
1310 Prentice Dr Ste G Healdsburg CA 95448-5005 |
| Mailing Address |
3536 Mendocino Ave Ste 200 Santa Rosa CA 95403-3634 |
| Practice Telephone | 7074330216 |
| Practice Fax Number | 7074336674 |
| Mailing Telephone | 7075256485 |
| Mailing Fax Number | 7075736918 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-12-12 |
| 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 | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR000173H | 05 | |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZ36779Z | 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 |
1310 PRENTICE DR STE G |
| City | HEALDSBURG |
| State | CA |
| Zip Code | 95448-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255325908 | Thomas P Miles | Specialist | 1310 Prentice Dr, Ste G, Healdsburg, CA 95448-3384 | 2005-09-08 |
| 1083890693 | North Bay Eye Associates, A Medical Corporation | Durable Medical Equipment & Medical Supplies | 1310 Prentice Dr, Suite F, Healdsburg, CA 95448-3384 | 2008-01-14 |
| 1063534311 | Steven Joseph Martin | Dentist | 1310 Prentice Dr, Suite C, Healdsburg, CA 95448 | 2007-04-06 |
| 1831235514 | Julianne Stoll Van Schoor | Psychiatry & Neurology | 1310 Prentice Dr, Suite A, Healdsburg, CA 95448-3384 | 2007-01-29 |
| 1720158645 | Gil Rodriguez-mccann | Dentist | 1310 Prentice Dr, Suite A, Healdsburg, CA 95448-3384 | 2006-11-08 |
| 1366450686 | Jeffrey R Andersen | Optometrist | 1310 Prentice Dr, Suite F, Healdsburg, CA 95448-3384 | 2006-08-03 |
| 1831112051 | Roger Steven Vargas | Family Medicine | 1310 Prentice Dr, Suite E, Healdsburg, CA 95448-3384 | 2006-07-26 |
| 1053365007 | John David Tomasin | Orthopaedic Surgery | 1310 Prentice Dr, Ste G, Healdsburg, CA 95448-3384 | 2006-05-22 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053365007 | John David Tomasin | Orthopaedic Surgery | 1310 Prentice Dr, Ste G, Healdsburg, CA 95448-3384 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163382 | San Bernardino Medical Orthopaedic Group Inc | Orthopaedic Surgery | 8805 Haven Ave Ste 100, Rancho Cucamonga, CA 91730-5149 | 2020-10-30 |
| 1376142067 | San Bernardino Medical Orthopaedic Gro | Orthopaedic Surgery | 4500 Brockton Ave Ste 306, Riverside, CA 92501-4027 | 2020-10-22 |
| 1699372326 | Adventist Health Physicians Network | Orthopaedic Surgery | 84 Madrone St Ste A, Willits, CA 95490-4249 | 2020-10-06 |
| 1982215992 | Roshan T Melvani Md Inc | Orthopaedic Surgery | 12677 Hesperia Rd Ste 140, Victorville, CA 92395-7735 | 2020-08-13 |
| 1164033684 | First Care Multispecialty Medical Group, Inc. | Orthopaedic Surgery | 4401 Atlantic Ave Ste 480, Long Beach, CA 90807-2265 | 2020-08-10 |
| 1194343855 | Orthopaedic Group of Orange County | Orthopaedic Surgery | 1200 N Tustin Ave Ste 250, Santa Ana, CA 92705-3596 | 2020-07-09 |
| 1497372536 | Kaley Brown Surgical Pa | Orthopaedic Surgery | 360 Tom Mcguinness Jr Cir, Fallbrook, CA 92028-2623 | 2020-07-05 |
| 1982220612 | Advanced Orthopaedic Surgeons At Long Beach, Inc | Orthopaedic Surgery | 1760 Termino Ave Ste 208, Long Beach, CA 90804-2151 | 2020-06-18 |
| 1982227609 | Sun Medical Group Huntington, Inc | Orthopaedic Surgery | 7801 Center Ave Ste 203, Huntington Beach, CA 92647-9118 | 2020-05-28 |
| 1932722733 | Julian Hakim Baloyan | Orthopaedic Surgery | 333 H St Ste 5000503, Chula Vista, CA 91910-5555 | 2020-05-27 |
| Find all providers with the same taxonomy | ||||
| City | HEALDSBURG |
| Zip Code | 95448 |
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| 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.