NORTHERN CALIFORNIA MEDICAL ASSOC INC (NPI# 1457534174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457534174 |
| Entity Type | Organization |
| Organization Name | NORTHERN CALIFORNIA MEDICAL ASSOC INC |
| Practice Address |
1701 4th St Ste 200 Santa Rosa CA 95404-3601 |
| Mailing Address |
3536 Mendocino Ave Ste 200 Santa Rosa CA 95403-3634 |
| Practice Telephone | 7075792100 |
| Practice Fax Number | 7075230616 |
| Mailing Telephone | 7075256485 |
| Mailing Fax Number | 7075230616 |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2012-02-09 |
| Authorized Official Name | MS. RUTH A SKIDMORE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7075736925 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ51552Y | 01 |
| CA | 1457534174 | 05 |
| 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 |
1701 4TH ST STE 200 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083690259 | Paul Doey Mcadams | Urology | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3658 | 2005-12-20 |
| 1184245870 | Dona Pierantoni Brumbley | Radiology | 1701 4th St, Santa Rosa, CA 95404-3658 | 2020-05-04 |
| 1114274388 | Jayme Fellores | Audiologist | 1701 4th St, Suite 120, Santa Rosa, CA 95404-3658 | 2012-08-07 |
| 1396040226 | Northern California Medical Assoc Inc | Otolaryngology | 1701 4th St, Ste 120, Santa Rosa, CA 95404-3661 | 2011-01-25 |
| 1306078050 | Adam Geoffrey Kaplan | Urology | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3658 | 2009-08-13 |
| 1023246089 | Anton Kushnaryov | Otolaryngology | 1701 4th St, Ste 120, Santa Rosa, CA 95404-3661 | 2009-06-30 |
| 1275772907 | John B Jarvis | Audiologist | 1701 4th St, Ste 120, Santa Rosa, CA 95404-3661 | 2009-02-19 |
| 1558515882 | Laurence H. Smith, M.d., Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3601 | 2008-11-13 |
| 1871754887 | Kristin Anne Kline | Audiologist | 1701 4th St, Suite 120, Santa Rosa, CA 95404-3658 | 2008-06-23 |
| 1447422043 | Marshall V. Marchbanks, M.d., Medical Corp | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3601 | 2008-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427351162 | Robert E Richardson Md Professional Corp. | Surgery | 1812 Happy Valley Road, Santa Rosa, CA 95409 | 2010-12-20 |
| 1780811927 | Samuel Chaim Schecter | Surgery | 401 Bicentennial Way, Suite 260, The Permanente Medical Group, Santa Rosa, CA 95403 | 2009-06-15 |
| 1225103369 | Healthy Steps Weight Loss Center Medical Corporation | Surgery | 4730 Hoen Avenue, Santa Rosa, CA 95405 | 2006-11-22 |
| 1528133642 | Mohammad H Mir-sepasi | Surgery | 4658 Kilarney Cir, Santa Rosa, CA 95403-0105 | 2006-11-22 |
| 1881769966 | Robert Earl Richardson | Surgery | 1812 Happy Valley Rd, Santa Rosa, CA 95409 | 2006-11-22 |
| 1346324415 | Roger W. Kirchner | Surgery | 3715 Autumn Glen Ct, Santa Rosa, CA 95403-0994 | 2006-10-25 |
| 1992716450 | North Bay Medical Group, Inc. | Surgery | 3850 Montgomery Dr, Suite D, Santa Rosa, CA 95405-5207 | 2006-08-10 |
| 1396754511 | James W Harwood | Surgery | 1111 Sonoma Ave #320, Santa Rosa, CA 95405 | 2006-08-05 |
| 1629092309 | Elizabeth P Tito | Surgery | 121 Sotoyome St Ste 203, Santa Rosa, CA 95405-4822 | 2006-07-27 |
| 1366422008 | Mitchell Edward Bailey | Surgery | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2006-01-19 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
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.