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Northern California Medical Assoc Inc

Podiatrist in Santa Rosa, CA · enumerated 2011 · authorized official Ruth Skidmore, Cheif Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164705174

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Registry record

Entity type Organization (Type 2)
Legal business name Northern California Medical Assoc Inc
Practice address 4761 Hoen Ave, Santa Rosa, CA, 95405
Phone (707) 545-0570
Fax (707) 545-0575
Enumeration date Sep 26, 2011
Last updated in NPPES Mar 1, 2012

Taxonomy & classification

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers Primary
213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers Secondary

Authorized official

Name Ruth Skidmore
Title Cheif Executive Officer
Phone (707) 573-6933

Other identifiers

Identifier Type State Issuer
CN8040 Other CA RAILROAD MEDICARE
ZZZ38300Z Other CA BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Northern California Medical Assoc Inc?
The NPI for Northern California Medical Assoc Inc is 1164705174, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Northern California Medical Assoc Inc?
NPPES lists Ruth Skidmore (Cheif Executive Officer) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-03-01.