Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northern California Medical Assoc

Organization Family Medicine Physician · NPI 1588220636

Northern California Medical Assoc provides Family Medicine Physician services in Petaluma, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1116 B St
Petaluma, CA 94952-4054
Phone: (707) 782-9123
Fax: (707) 782-9622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1588220636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sally Dewald — Business Services Manager · (707) 525-6485
Other names Northern California Medical Associates, Inc.
NPI enumeratedMay 14, 2019
Last updated in NPPESMay 14, 2019
Mailing address3536 Mendocino Ave Ste 200, Santa Rosa, CA 95403-3634

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