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

Northern California Medical Assoc Inc

Organization Cardiovascular Disease Physician · NPI 1235138926

Northern California Medical Assoc Inc is a Cardiovascular Disease Physician in Lakeport, California. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
3
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

5196 Hill Rd E Ste 202
Lakeport, CA 95453-6362
Phone: (707) 263-1777
Fax: (707) 263-8137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Interventional Cardiology Physician Taxonomy 207RI0011X
Nuclear Cardiology Physician Taxonomy 207UN0901X

Record details

NPI number1235138926
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruth Skidmore — Chief Executive Officer · (707) 573-6925
NPI enumeratedJuly 15, 2005
Last updated in NPPESFebruary 9, 2012
Mailing address3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634

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