REDWOOD CENTER (NPI# 1104957232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104957232 |
| Entity Type | Organization |
| Organization Name | REDWOOD CENTER |
| Practice Address |
100 Edmonds Rd Redwood City CA 94062-3812 |
| Practice Telephone | 6503665723 |
| Practice Fax Number | 6503665326 |
| Mailing Telephone | 6503665723 |
| Mailing Fax Number | 6503665326 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-07-16 |
| Authorized Official Name | PERRY ZINNANTI (DIRECTOR) |
| Authorized Official Telephone | 6503665723 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | REDWOOD CENTER | 1720 Redwood Ave, Grants Pass, OR 97527 |
| Oregon Corporations, Companies and Business Names | REDWOOD CENTER PLAZA L.L.C. | 10225 Sw Hall Blvd, Tigard, OR 97223 |
| Street Address |
100 EDMONDS RD |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94062-3812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043426620 | Perry Zinnanti | Counselor | 100 Edmonds Rd, Redwood City, CA 94062-3812 | 2007-05-14 |
| 1932316478 | Tamara Ottovich | Social Worker | 100 Edmonds Rd, Redwood City, CA 94062-3812 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063051803 | Birch Clinic Corporation | Acupuncturist | 39b Birch St, Redwood City, CA 94062 | 2019-12-26 |
| 1376084459 | Sneha Kadkol | Physical Therapist | 2944 Broadway Street, Redwood City, CA 94062 | 2017-03-09 |
| 1376081166 | B. Annye Rothenberg | Psychologist | 3943 Jefferson Ave., Emerald Hills, CA 94062 | 2017-02-01 |
| 1922410406 | Sheree Campbell | Psychologist | 40a Corto Ln, Woodside, CA 94062 | 2014-06-02 |
| 1902188832 | Delmar J Smith | Physician Assistant | 2900 Whipple Ave Ste 132, Redwood City, CA 94062 | 2011-09-16 |
| 1902192974 | Mariana Garcia | Counselor | 500 Allerton Street, Redwood City, CA 94062 | 2011-06-28 |
| 1386938264 | Julie Freschi | Physical Therapist | 3674 Sand Hill Rd, Woodside, CA 94062 | 2011-06-08 |
| 1669763702 | Jacqueline M Phillips | Pediatrics | 2979 Woodside Road, Woodside, CA 94062 | 2011-04-24 |
| 1396041208 | Arch Street Medical Associates | General Practice | 143 Birch Street, Redwood City, CA 94062 | 2011-02-10 |
| 1174843916 | Priyasheelta Nand | Internal Medicine | 2950 Whipple Avenue, Suite 3, Redwood City, CA 94062 | 2010-06-03 |
| Find all providers in zip 94062 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164837837 | Joe C Vasquez | Substance Abuse Rehabilitation Facility | 500 Allerton St Fl 2, Redwood City, CA 94063-1519 | 2014-06-21 |
| 1063700151 | Diana Avalos | Substance Abuse Rehabilitation Facility | 500 Allerton St, Redwood City, CA 94063-1519 | 2011-07-11 |
| 1518253020 | Service League of San Mateo County | Substance Abuse Rehabilitation Facility | 3789 Hoover St, Redwood City, CA 94063-4504 | 2011-06-22 |
| 1386708311 | The Sequoia Center | Substance Abuse Rehabilitation Facility | 650 Main St, Redwood City, CA 94063-1922 | 2006-12-21 |
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| Find all providers with the same taxonomy | ||||
| City | REDWOOD CITY |
| Zip Code | 94062 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.