NORTHERN CALIFORNIA MEDICAL ASSOC INC


Address: 1701 4th St Ste 100, Santa Rosa, CA 95404-3661
Phone: 7075693234

NORTHERN CALIFORNIA MEDICAL ASSOC INC (NPI# 1689226649) 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) 1689226649
Entity Type Organization
Organization Name NORTHERN CALIFORNIA MEDICAL ASSOC INC
Practice Address 1701 4th St Ste 100
Santa Rosa
CA 95404-3661
Mailing Address 3536 Mendocino Ave Ste 200
Santa Rosa
CA 95403-3634
Practice Telephone 7075693234
Mailing Telephone 7075456485
Mailing Fax Number 7075736918
Enumeration Date 2019-07-10
Last Update Date 2019-07-10
Authorized Official Name SALLY A DEWALD (BUSINESS SERVICES MANAGER)
Authorized Official Telephone 7075256485
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RI0008X Internal Medicine
Specialization: Hepatology
Allopathic & Osteopathic Physicians
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

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

Office Location

Street Address 1701 4TH ST STE 100
City SANTA ROSA
State CA
Zip Code 95404-3661

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245492321 Northern California Medical Assoc Inc Podiatrist 1701 4th St Ste 100, Santa Rosa, CA 95404 2008-06-30
1710457361 Northern California Medical Assoc Internal Medicine 1701 4th St Ste 100, Santa Rosa, CA 95404-3661 2018-11-27
1194979278 Ashleigh E Korves Podiatrist 1701 4th St Ste 100, Santa Rosa, CA 95404-3661 2008-11-16

Providers in the same zip code

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 Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770853806 Jay Michael Gospe Internal Medicine 1701 Pamela Dr, Santa Rosa, CA 95404-3140 2012-01-05
1790883080 Paul T. Kefalides Internal Medicine 98 Montgomery Dr, Ste C, Santa Rosa, CA 95404-6615 2006-09-20
1144284290 Richard Mcguire Auld Jr. Internal Medicine 1210 Sonoma Avenue, Suite B, Santa Rosa, CA 95405-6648 2006-04-14
1528037124 Jeffrey Bruce Rothman Internal Medicine 4465 Abbey Ln, Santa Rosa, CA 95401-5617 2006-03-16
1366426587 Sumit Kohli Internal Medicine 1210 Sonoma Ave, Suite B, Santa Rosa, CA 95405 2005-12-01
1023192093 Scott M. Trahms Internal Medicine 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2006-10-25
1407930571 Richard P. Permutt Internal Medicine 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2006-10-25
1831273804 Timothy J. Hurley Internal Medicine 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2006-10-25
1972683654 Santa Rosa Gastroenterology Medical Associates Internal Medicine 1210 Sonoma Ave, Suite B, Santa Rosa, CA 95405 2006-10-16
1780615906 F. Otis Stephen Internal Medicine 500 Doyle Park Dr, Suite G04, Santa Rosa, CA 95405-4558 2006-07-05
Find all providers in SANTA ROSA

Competitor

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City SANTA ROSA
Zip Code 95404

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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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