Northern California Medical Assoc Inc in Santa Rosa - Geriatric Medicine
Northern California Medical Assoc Inc - NPI 1760481204
Northern California Medical Assoc Inc is a Geriatric Medicine in Santa Rosa, California. Northern California Medical Assoc Inc practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Northern California Medical Assoc Inc is 1760481204. The last update date is 2007-10-01.
Northern California Medical Assoc Inc's current location address is 4702 Hoen Ave, Santa Rosa, California. You can contact this provider via phone number 7075462180 and fax number 7075462188. The mailing address for Northern California Medical Assoc Inc is 4702 Hoen Ave, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northern California Medical Assoc Inc |
|---|---|
| Address | 4702 Hoen Ave, Santa Rosa, California |
| Phone Number | 7075462180 |
| Fax Number | 7075462188 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Skidmore Ann Ruth |
| Telephone Number | 7075736925 |
NPI Number Detail
| NPI Number | 1760481204 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2007-10-01 |
Provider Mailing Address Detail
| Address | 4702 Hoen Ave |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 9540578240 |
| Phone Number | 7075462180 |
| Fax Number | 7075462188 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
|
Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR000173G | CA | -- | |
| ZZZ41791Z | 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) 1760481204. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Northern California Medical Assoc Inc?
The Northern California Medical Assoc Inc is physically situated at 4702 Hoen Ave, in the city of Santa Rosa, state of CA, with the postal code 9540578240.
What is Northern California Medical Assoc Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Northern California Medical Assoc Inc is Geriatric Medicine, and the taxonomy code that categorizes this field of expertise is 207Rg0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1760481204 to Northern California Medical Assoc Inc?
The Northern California Medical Assoc Inc received its 1760481204 assignment from the Centers for Medicare & Medicaid Services on 2005-07-18.
When was the information pertaining to Northern California Medical Assoc Inc most recently updated or revised?
The details related to Northern California Medical Assoc Inc, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-01.