NORTHERN CALIFORNIA MEDICAL ASSOC INC – NPI #1689671570
Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
NORTHERN CALIFORNIA MEDICAL ASSOC INC is a provider located in FORT BRAGG, CA. NPPES has assigned the NPI number 1689671570 to NORTHERN CALIFORNIA MEDICAL ASSOC INC on July 07, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease
The NPI profile was previously updated about 14 years ago on Feb 09, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHERN CALIFORNIA MEDICAL ASSOC INC below.
NPI Profile for
NORTHERN CALIFORNIA MEDICAL ASSOC INC
(about 21 years ago)
STE A
FORT BRAGG, CA 95437-5402 Phone: (707) 573-6166 Fax: (707) 573-6165
STE 200
SANTA ROSA, CA 95403-3634 Phone: (707) 525-6049 Fax: (707) 573-6918
CHIEF EXECUTIVE OFFICER
Phone: (707) 573-6925
Identifiers for NORTHERN CALIFORNIA MEDICAL ASSOC INC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BLUE SHIELD OF CALIFORNIA | CA | ZZZ01804Z |
| MEDICAID | CA | GR000173A |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RC0000X - Internal Medicine / Cardiovascular Disease (Primary) |
||
| 207RI0011X - Internal Medicine / Interventional Cardiology |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.