NORTHERN CALIFORNIA MEDICAL ASSOC INC (NPI# 1588164909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588164909 |
| Entity Type | Organization |
| Organization Name | NORTHERN CALIFORNIA MEDICAL ASSOC INC |
| Other Organization Name | NORTHERN CALIFORNIA MEDICAL ASSOCIATES, INC. |
| Practice Address |
990 Sonoma Ave Ste 18 Santa Rosa CA 95404 |
| Mailing Address |
3536 Mendocino Ave Ste 200 Santa Rosa CA 95403-3634 |
| Practice Telephone | 7075781222 |
| Practice Fax Number | 7075788348 |
| Mailing Telephone | 7075256485 |
| Mailing Fax Number | 7075736918 |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-08-07 |
| Authorized Official Name | SALLY A DEWALD (DIRECTOR OF BUSINESS SERVICES) |
| Authorized Official Telephone | 7075256485 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
CA | Podiatric Medicine & Surgery Service Providers |
| 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 |
990 SONOMA AVE STE 18 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629008370 | Ambridge Chiropractic Corp | Chiropractor | 990 Sonoma Ave Ste 18, Santa Rosa, CA 95404-4813 | 2006-07-04 |
| 1902422280 | Khawaja Md Inc | Obstetrics & Gynecology | 990 Sonoma Ave Ste 18, Santa Rosa, CA 95404-4813 | 2020-06-22 |
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245492321 | Northern California Medical Assoc Inc | Podiatrist | 1701 4th St Ste 100, Santa Rosa, CA 95404 | 2008-06-30 |
| 1417131871 | Larry A Smith | Podiatrist | 1041 4th St Ste B, Santa Rosa, CA 95404-4329 | 2007-12-20 |
| 1841315736 | Thomas J Chang | Podiatrist | 208 Concourse Boulevard, Suite 1, Santa Rosa, CA 95403-8210 | 2007-03-20 |
| 1306877006 | Steven Park Kim | Podiatrist | 4761 Hoen Ave, Santa Rosa, CA 95405-7862 | 2006-07-05 |
| 1518926252 | Deha Karaoglan | Podiatrist | 1041 4th St, Suite B, Santa Rosa, CA 95404-4329 | 2006-03-21 |
| 1104822758 | John Dirk Hollander | Podiatrist | 95 Montgomery Dr Ste 114, Santa Rosa, CA 95404-6617 | 2005-06-27 |
| 1528555281 | Parkview Podiatry | Podiatrist | 1255 N Dutton Ave, Santa Rosa, CA 95401-4663 | 2018-04-18 |
| 1154770048 | Kevin Grierson | Podiatrist | 2281 Cleveland Ave, Santa Rosa, CA 95403-2905 | 2016-06-10 |
| 1841618386 | Rachel Hoyal Dpm Inc A Professional Corporation | Podiatrist | 1041 4th St, Ste B, Santa Rosa, CA 95404-4329 | 2014-04-02 |
| 1164705174 | Northern California Medical Assoc Inc | Podiatrist | 4761 Hoen Ave, Santa Rosa, CA 95405-7862 | 2011-09-26 |
| 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.