NORTHERN CALIFORNIA MEDICAL ASSOC INC (NPI# 1770995748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770995748 |
| Entity Type | Organization |
| Organization Name | NORTHERN CALIFORNIA MEDICAL ASSOC INC |
| Practice Address |
1111 Sonoma Ave Ste 202 Santa Rosa CA 95405-4819 |
| Mailing Address |
3536 Mendocino Ave Ste 200 Santa Rosa CA 95403-3634 |
| Practice Telephone | 7075279517 |
| Practice Fax Number | 7075279913 |
| Mailing Telephone | 7075256485 |
| Mailing Fax Number | 7075736918 |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |
| 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 |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | CA | Allopathic & Osteopathic Physicians |
| 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 |
1111 SONOMA AVE STE 202 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558360479 | Patrick Devlin | Internal Medicine | 1111 Sonoma Ave, Suite 302, Santa Rosa, CA 95405-4819 | 2005-07-21 |
| 1700312493 | Tina Page Afifi | Hearing Instrument Specialist | 1111 Sonoma Ave, Ste 316, Santa Rosa, CA 95405-4819 | 2017-05-02 |
| 1508164948 | Bryan M. Pereira, M.d., P.C. | Neurological Surgery | 1111 Sonoma Ave, Suite # 320, Santa Rosa, CA 95405 | 2011-03-09 |
| 1952603284 | Barry Neil Silberg, M.d., Inc. | Plastic Surgery | 1111 Sonoma Ave, Suite 210, Santa Rosa, CA 95405-4819 | 2010-11-18 |
| 1427362680 | Sonoma Memory Center Comprehensive Psychology Services Professional Co | Clinical Neuropsychologist | 1111 Sonoma Ave, Ste 322, Santa Rosa, CA 95405-4819 | 2010-07-29 |
| 1609056878 | Jiries Peter Mogannam | Dentist | 1111 Sonoma Ave, Suite #220, Santa Rosa, CA 95405-4819 | 2007-11-05 |
| 1023205713 | Northern California Medical Assoc | Orthopaedic Surgery | 1111 Sonoma Ave, Ste 202, Santa Rosa, CA 95405-4813 | 2007-09-27 |
| 1154523447 | Santa Rosa Cardiac Imaging | Nuclear Medicine | 1111 Sonoma Ave, Suite 108, Santa Rosa, CA 95405-4819 | 2007-05-31 |
| 1225158884 | Patrick G Devlin Md A Medical Corporation | Specialist | 1111 Sonoma Ave, Suite 302, Santa Rosa, CA 95405-4819 | 2007-03-29 |
| 1083766331 | Drew Hittenberger and Associates | Orthotic Fitter | 1111 Sonoma Ave, Suite 106, Santa Rosa, CA 95405-4819 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235782921 | Northern California Medical Assoc Inc | Dermatology | 4727 Hoen Ave Ste A, Santa Rosa, CA 95405-7898 | 2019-07-22 |
| 1023252350 | Erik Stephen Cabral | Dermatology | 3562 Round Barn Cir Ste 320, Santa Rosa, CA 95403-0182 | 2009-04-30 |
| 1326154352 | Stephen D. Schwartz | Dermatology | 4727a Hoen Ave, Santa Rosa, CA 95405-7862 | 2006-08-22 |
| 1619962552 | Khanh Yen Truong | Dermatology | 196 Wikiup Dr, Santa Rosa, CA 95403-7773 | 2005-09-16 |
| 1417319757 | Jennifer Freeman | Dermatology | 3883 Airway Dr Ste 203, Santa Rosa, CA 95403-1671 | 2016-03-25 |
| 1760725394 | Brianne Zechlinski Dickey | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2013-04-02 |
| 1649599648 | Jennifer Hayes | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2010-06-01 |
| 1083949853 | Judith Hong | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2009-10-12 |
| 1083849012 | Ligaya Park | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2009-05-20 |
| 1346426848 | Julie Christine Plante | Dermatology | 6574 Oakmont Dr, Ste B, Santa Rosa, CA 95409-5958 | 2008-01-14 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
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.