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

Northern California Medical Assoc Inc

Organization Podiatrist · NPI 1619390077

Northern California Medical Assoc Inc is a Podiatrist in Lakeport, California. Registered with an NPI since 2014.

In the registry since
2014
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

175 Park St
Lakeport, CA 95453-4803
Phone: (707) 263-9595
Fax: (707) 263-5576
Show map & directions

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

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X

Record details

NPI number1619390077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruth Skidmore — Chief Executive Officer · (707) 573-6925
NPI enumeratedJanuary 21, 2014
Last updated in NPPESMay 5, 2015
Mailing address3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634

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