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

Northern California Medical Assoc Inc

Organization Family Medicine Physician · NPI 1245411529

Northern California Medical Assoc Inc is a Family Medicine Physician in Petaluma, California. Registered with an NPI since 2007.

In the registry since
2007
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

104 Lynch Creek Way Ste 10
Petaluma, CA 94954-2355
Phone: (707) 782-9123
Fax: (707) 782-9622
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1245411529
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruth Skidmore — Chief Executive Officer · (707) 573-6925
NPI enumeratedNovember 15, 2007
Last updated in NPPESOctober 16, 2008
Mailing address3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634

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