NORTHERN CALIFORNIA MEDICAL ASSOC


Address: 1111 Sonoma Ave, Ste 202, Santa Rosa, CA 95405-4813
Phone: 7075467400

NORTHERN CALIFORNIA MEDICAL ASSOC (NPI# 1023205713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023205713
Entity Type Organization
Organization Name NORTHERN CALIFORNIA MEDICAL ASSOC
Practice Address 1111 Sonoma Ave
Ste 202
Santa Rosa
CA 95405-4813
Mailing Address 3536 Mendocino Ave
Ste 200
Santa Rosa
CA 95403-3634
Practice Telephone 7075467400
Practice Fax Number 7075467474
Mailing Telephone 7075256485
Mailing Fax Number 7075736918
Enumeration Date 2007-09-27
Last Update Date 2007-10-27
Authorized Official Name MS. RUTH A. SKIDMORE (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 7075736925
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians
Y 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912408691 Northern California Medical Assoc Internal Medicine 2315 Dean St, Eureka, CA 95501-3208 2018-02-27
1588220636 Northern California Medical Assoc Family Medicine 1116 B St, Petaluma, CA 94952-4054 2019-05-14
1710457361 Northern California Medical Assoc Internal Medicine 1701 4th St Ste 100, Santa Rosa, CA 95404-3661 2018-11-27

Office Location

Street Address 1111 SONOMA AVE
STE 202
City SANTA ROSA
State CA
Zip Code 95405-4813

Providers in the same location

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
1770995748 Northern California Medical Assoc Inc Dermatology 1111 Sonoma Ave, Ste 202, Santa Rosa, CA 95405-4819 2014-05-27
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
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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207XS0106X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Hand Surgery

Taxonomy Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437713500 Santa Rosa Orthopaedic Medical Group, Inc. Orthopaedic Surgery 34 Mark West Springs Rd Ste 300, Santa Rosa, CA 95403-1783 2019-04-24
1164637922 Santa Rosa Orthopaedic Medical Group, Inc. Orthopaedic Surgery 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 2007-05-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477027050 Bay Area Surgical Specialists Orthopaedic Surgery 2505 Samaritan Dr Ste 208, San Jose, CA 95124-4008 2019-01-16
1316484504 James Angus Turner Orthopaedic Surgery 2190 Washington St, Suite 404, San Francisco, CA 94109-2869 2017-01-25
1477906717 Phuc Dang, Md Corporation Orthopaedic Surgery 1006 Mission Dr Apt A, Suite 200, Costa Mesa, CA 92626-4217 2016-07-21
1528423506 H. Relton Mccarroll Jr. Md A Medical Corporation Orthopaedic Surgery 2351 Clay St Ste 510, San Francisco, CA 94115-1931 2015-12-17
1598174492 Paul J. Casey, Md Inc Orthopaedic Surgery 969 Blue Heron, Seal Beach, CA 90740-5611 2014-08-05
1023428901 Austin Arlo Pitcher Orthopaedic Surgery 3315 Broadway Fl 1, Oakland, CA 94611-5717 2014-05-01
1932547536 Hassan Jon Azimi Orthopaedic Surgery 8008 Frost St Ste 403, San Diego, CA 92123-4209 2013-06-06
1114265949 Wayne Pan Orthopaedic Surgery 1475 Grandview Dr, Ms 354-g, Room 354171, South San Francisco, CA 94080-4901 2013-01-29
1720348162 Ryu Yoshida Orthopaedic Surgery 8635 W 3rd St Ste 990w, Los Angeles, CA 90048-6116 2012-05-19
1285933424 Anna Marie Acosta Orthopaedic Surgery 1760 Termino Ave Ste 308, Long Beach, CA 90804 2011-03-25
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Competitor

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City SANTA ROSA
Zip Code 95405

Improve Information

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Dataset Information

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.

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