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Northern California Medical Assoc Inc

Cardiovascular Disease Physician in Willits, CA · enumerated 2005 · authorized official Ruth Skidmore, Chief Executive Officer.

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

National Provider Identifier

1174525554

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Registry record

Entity type Organization (Type 2)
Legal business name Northern California Medical Assoc Inc
Practice address 84 Madrone St, Willits, CA, 95490
Fax (707) 459-9585
Enumeration date Aug 15, 2005
Last updated in NPPES Feb 9, 2012

Taxonomy & classification

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Primary
207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Ruth Skidmore
Title Chief Executive Officer

Other identifiers

Identifier Type State Issuer
GR0001732 Medicaid CA -
ZZZ45620Z Other CA BLUE SHIELD OF CALIFORNIA

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

Where is Northern California Medical Assoc Inc located?
The practice location on file with NPPES is in Willits, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-02-09. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-02-09.