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Northern California Medical Assoc Inc

Cardiovascular Disease Physician in Sebastopol, CA · enumerated 2007 · authorized official Ruth Skidmore, Chief Executive Officer.

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

National Provider Identifier

1184845182

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Registry record

Entity type Organization (Type 2)
Legal business name Northern California Medical Assoc Inc
Practice address 652 Petaluma Ave, Ste E, Sebastopol, CA, 95472
Fax (707) 573-6165
Enumeration date May 1, 2007
Last updated in NPPES Oct 1, 2007

Taxonomy & classification

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Primary
207RC0001X Clinical Cardiac Electrophysiology Physician Allopathic & Osteopathic Physicians Secondary
207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians Secondary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Ruth Skidmore
Title Chief Executive Officer

Other identifiers

Identifier Type State Issuer
ZZZ36920Z Other CA BLUE SHIELD OF CALIFORNIA
GR000173J Medicaid CA -

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 Sebastopol, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-10-01. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-01.