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

Northern California Medical Assoc Inc

Organization Ophthalmology Physician · NPI 1124467006

Northern California Medical Assoc Inc is an Ophthalmology Physician in Petaluma, California. Registered with an NPI since 2013.

In the registry since
2013
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

1383 N McDowell Blvd Ste 100
Petaluma, CA 94954-1190
Phone: (707) 763-6400
Fax: (707) 763-6266
Show map & directions

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

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X

Record details

NPI number1124467006
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruth Skidmore — Chief Executive Officer · (707) 573-6125
NPI enumeratedJune 24, 2013
Last updated in NPPESMay 5, 2015
Mailing address3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634

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