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Northern California Medical Assoc Inc

Internal Medicine Physician in Santa Rosa, CA · enumerated 2005 · authorized official Ruth Skidmore, Chief Executive Officer.

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

National Provider Identifier

1760481204

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Registry record

Entity type Organization (Type 2)
Legal business name Northern California Medical Assoc Inc
Practice address 4702 Hoen Ave, Santa Rosa, CA, 95405
Fax (707) 546-2188
Enumeration date Jul 18, 2005
Last updated in NPPES Oct 1, 2007

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
207RG0300X Geriatric Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Ruth Skidmore
Title Chief Executive Officer

Other identifiers

Identifier Type State Issuer
GR000173G Medicaid CA -
ZZZ41791Z 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

What is the NPI number for Northern California Medical Assoc Inc?
The NPI for Northern California Medical Assoc Inc is 1760481204, 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 (Chief 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 2007-10-01.