OrganizationActive
Northern California Medical Assoc Inc
NPI 1124467006 · Ophthalmology Physician · Petaluma, CA
Provider details
- NPI number
- 1124467006
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ruth Skidmore, Chief Executive Officer(707) 573-6125
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1383 N Mcdowell Blvd
Ste 100
Petaluma, CA 94954-1190
Phone: (707) 763-6400
Fax: (707) 763-6266
Street-level locationGet directions
Mailing address
3536 Mendocino Ave
Santa Rosa, CA 95403-3634
Registry dates
- Enumerated
- 2013-06-24
- Last updated
- 2015-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.