NORTHERN CALIFORNIA MEDICAL ASSOC INC (NPI# 1891344305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891344305 |
| Entity Type | Organization |
| Organization Name | NORTHERN CALIFORNIA MEDICAL ASSOC INC |
| Practice Address |
4690 Hoen Ave Santa Rosa CA 95405-7823 |
| Mailing Address |
3536 Mendocino Ave Ste 200 Santa Rosa CA 95403-3634 |
| Practice Telephone | 7075736942 |
| Practice Fax Number | 7075756038 |
| Mailing Telephone | 7075736942 |
| Mailing Fax Number | 7075756038 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |
| Authorized Official Name | RUTH A SKIDMORE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7075736933 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
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 |
4690 HOEN AVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-7823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174925697 | Spine and Neurosurgical Trauma Associates of Northern California | Psychiatry & Neurology | 4690 Hoen Ave, Santa Rosa, CA 95405-7823 | 2014-09-17 |
| 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 | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639516149 | Donald Lloyd Whisler | Internal Medicine | 500 Doyle Park Dr Ste 300, Santa Rosa, CA 95405-4559 | 2013-05-24 |
| 1841494275 | Lisa B. Kremer, M.d. | Internal Medicine | 4725-a Hoen Ave, Santa Rosa, CA 95405-7862 | 2007-06-11 |
| 1144262213 | Lisa B Kremer | Internal Medicine | 4725 Hoen Ave Ste A, Santa Rosa, CA 95405-9405 | 2006-06-12 |
| 1104824994 | Jack Waxman | Internal Medicine | 1701 4th St Ste 210, Santa Rosa, CA 95404-3661 | 2005-07-14 |
| 1710457361 | Northern California Medical Assoc | Internal Medicine | 1701 4th St Ste 100, Santa Rosa, CA 95404-3661 | 2018-11-27 |
| 1588164909 | Northern California Medical Assoc Inc | Internal Medicine | 990 Sonoma Ave Ste 18, Santa Rosa, CA 95404 | 2018-02-13 |
| 1386031268 | David Maniscalco | Internal Medicine | 3883 Airway Dr Ste 130, Santa Rosa, CA 95403-1671 | 2015-04-19 |
| 1144592205 | Khashayar Khosraviani | Internal Medicine | 401 Bicentennial Way, Dept of Rheumatology Suite 160, Santa Rosa, CA 95403-2149 | 2012-02-06 |
| 1124102298 | Richard T. Zweig | Internal Medicine | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1134222458 | Kent William Blakely | Internal Medicine | 1701 4th St Ste 210, Santa Rosa, CA 95404 | 2006-09-06 |
| 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.