Organization
NORTHERN CALIFORNIA MEDICAL ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH SKIDMORE (CHEIF EXECUTIVE OFFICER)
(707) 573-6933
Entity
Organization
Contact information
Practice address
4761 HOEN AVE, SANTA ROSA, CA 95405-7862
(707) 545-0570
(707) 545-0575
Mailing address
3536 MENDOCINO AVE, 200, SANTA ROSA, CA 95403-3634
(707) 575-6049
(707) 545-0575
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN8040
RAILROAD MEDICARE
CA
01
—
ZZZ38300Z
BLUE SHIELD
CA
Enumeration date
09/26/2011
Last updated
03/01/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us