Northern California Medical Assoc Inc in Santa Rosa - Sports Medicine
Northern California Medical Assoc Inc - NPI 1629193438
Northern California Medical Assoc Inc is a Sports Medicine in Santa Rosa, California. Northern California Medical Assoc Inc practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Northern California Medical Assoc Inc is 1629193438. The last update date is 2008-12-12.
Northern California Medical Assoc Inc's current location address is 3536 Mendocino Ave, Santa Rosa, California. You can contact this provider via phone number 7075256485 and fax number 7075736918. The mailing address for Northern California Medical Assoc Inc is 3536 Mendocino Ave, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Northern California Medical Assoc Inc |
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Address | 3536 Mendocino Ave, Santa Rosa, California |
Phone Number | 7075256485 |
Fax Number | 7075736918 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CHIEF EXEC |
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Authorized Official Name | Skidmore Ann Ruth |
Telephone Number | 7075736925 |
NPI Number Detail
NPI Number | 1629193438 |
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Provider Enumeration Date | 2007-03-20 |
Last Updated Date | 2008-12-12 |
Provider Mailing Address Detail
Address | 3536 Mendocino Ave |
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City | Santa Rosa |
State | California (CA) |
Post Code | 954033634 |
Phone Number | 7075256485 |
Fax Number | 7075736918 |
Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
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Taxonomy | 207Xx0005X |
Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
GR000173H | CA | -- | |
ZZZ36779Z | CA | BLUE SHIELD OF CALIFORNIA |
Post Comment/ Review Below
What is the unique identification code assigned to Northern California Medical Assoc Inc by the Centers for Medicare & Medicaid Services?
The Northern California Medical Assoc Inc has been issued the NPI (National Provider Identifier) 1629193438. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Northern California Medical Assoc Inc's facilities are situated?
The facilities of Northern California Medical Assoc Inc are physically located at the following address: 3536 Mendocino Ave, Santa Rosa, CA, 954033634.
What is the area of specialization for Northern California Medical Assoc Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Northern California Medical Assoc Inc is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Xx0005X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629193438 to Northern California Medical Assoc Inc?
The Centers for Medicare & Medicaid Services assigned the 1629193438 to Northern California Medical Assoc Inc on 2007-03-20.
As of what date was the information regarding Northern California Medical Assoc Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Northern California Medical Assoc Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-12-12.