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

Northern California Medical Assoc Inc

Organization Dermatology Physician · NPI 1770995748

Northern California Medical Assoc Inc is a Dermatology Physician in Santa Rosa, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
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

1111 Sonoma Ave Ste 202
Santa Rosa, CA 95405-4819
Phone: (707) 527-9517
Fax: (707) 527-9913
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X (CA)

Record details

NPI number1770995748
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruth Skidmore — Chief Executive Officer · (707) 573-6925
NPI enumeratedMay 27, 2014
Last updated in NPPESMay 27, 2014
Mailing address3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634

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