Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northern California Medical Assoc Inc

Organization Neuromusculoskeletal Medicine & OMM Physician · NPI 1093229312

Northern California Medical Assoc Inc is a Neuromusculoskeletal Medicine & OMM Physician in Sebastopol, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
2
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

506 S Main St
Sebastopol, CA 95472-4261
Phone: (707) 829-5455
Fax: (707) 824-9235
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuromusculoskeletal Medicine & OMM Physician (primary) Taxonomy 204D00000X · Licence 20A5942 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 20A5942 (CA)

Record details

NPI number1093229312
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sally Dewald — Director Of Business Services · (707) 525-6485
NPI enumeratedNovember 22, 2017
Last updated in NPPESNovember 22, 2017
Mailing address3536 Mendocino Ave Ste 200, Santa Rosa, CA 95403-3634

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