OrganizationActive
Northern California Medical Assoc Inc
NPI 1982603577 · Internal Medicine Physician · Mendocino, CA
Provider details
- NPI number
- 1982603577
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ruth Skidmore, Chief Executive Officer(707) 573-6925
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Interventional Cardiology Physician207RI0011X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
45081 Little Lake St
Mendocino, CA 95460
Phone: (707) 573-6166
Fax: (707) 573-6165
Approximate (ZIP-level) locationGet directions
Mailing address
3536 Mendocino Ave
Santa Rosa, CA 95403-3634
Registry dates
- Enumerated
- 2005-07-18
- Last updated
- 2012-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.