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 1457534174

Northern California Medical Assoc Inc provides Ophthalmology Physician services in Santa Rosa, California. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
4
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

1701 4th St Ste 200
Santa Rosa, CA 95404-3601 Not confirmed with CMS for 14 years — call before visiting
Phone: (707) 579-2100
Fax: (707) 523-0616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Ophthalmology Physician Taxonomy 207W00000X
Trauma Surgery Physician Taxonomy 2086S0127X
Vascular Surgery Physician Taxonomy 2086S0129X

Record details

NPI number1457534174
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruth Skidmore — Chief Executive Officer · (707) 573-6925
NPI enumeratedDecember 17, 2007
Last updated in NPPESFebruary 9, 2012
Mailing address3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634

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