Northern California Medical Assoc INC
Ophthalmology in Petaluma, CA. Organization (NPI-2).
NPI number1124467006
StatusActive
Last updated in NPPESMay 5, 2015
Details
- NPI
- 1124467006
- Entity type
- Organization (NPI-2)
- Legal business name
- Northern California Medical Assoc INC
- Organization subpart
- No
- Enumeration date
- Jun 24, 2013
- Last updated
- May 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
Practice location
1383 N McDowell BlvdSte 100
Petaluma, CA 94954-1190
Phone 707-763-6400 · Fax 707-763-6266
Mailing address
3536 Mendocino AveSte 200
Santa Rosa, CA 95403-3634
Phone 707-525-6485 · Fax 707-573-6918
Authorized official
Ruth A Skidmore
Chief Executive Officer
7075736125
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Ophthalmology Physician providers in Petaluma, CA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.