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 Dermatology Physician · NPI 1770995748

Northern California Medical Assoc Inc provides Dermatology Physician services in Santa Rosa, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
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

1111 Sonoma Ave Ste 202
Santa Rosa, CA 95405-4819 Not confirmed with CMS for 12 years — call before visiting
Phone: (707) 527-9517
Fax: (707) 527-9913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X (CA)

Record details

NPI number1770995748
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruth Skidmore — Chief Executive Officer · (707) 573-6925
NPI enumeratedMay 27, 2014
Last updated in NPPESMay 27, 2014
Mailing address3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634

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