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

Northern California Medical Assoc Inc

Organization Ophthalmology Physician · NPI 1063780468

Northern California Medical Assoc Inc provides Ophthalmology Physician services in Santa Rosa, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1017 2nd St
Santa Rosa, CA 95404-6608 Not confirmed with CMS for 14 years — call before visiting
Phone: (707) 546-9800
Fax: (707) 546-4112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X (CA)

Record details

NPI number1063780468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruth Skidmore — Chief Executive Officer · (707) 573-6925
NPI enumeratedDecember 13, 2011
Last updated in NPPESMarch 22, 2012
Mailing address3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634

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