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 Otolaryngology Physician · NPI 1396040226

Northern California Medical Assoc Inc is an Otolaryngology Physician in Santa Rosa, California. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
4
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

1701 4th St Ste 120
Santa Rosa, CA 95404-3661
Phone: (707) 523-7025
Fax: (707) 523-3024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X
Facial Plastic Surgery Physician Taxonomy 207YS0123X
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X
Audiologist Taxonomy 231H00000X

Record details

NPI number1396040226
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruth Skidmore — Chief Executive Officer · (707) 525-6925
NPI enumeratedJanuary 25, 2011
Last updated in NPPESNovember 5, 2018
Mailing address3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634

Other providers in Santa Rosa