SUTTER MEDICAL GROUP OF THE REDWOODS


Address: 3536 Mendocino Ave, Suite 300, Santa Rosa, CA 95403-3634
Phone: 7075711280

SUTTER MEDICAL GROUP OF THE REDWOODS (NPI# 1184711715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184711715
Entity Type Organization
Organization Name SUTTER MEDICAL GROUP OF THE REDWOODS
Practice Address 3536 Mendocino Ave
Suite 300
Santa Rosa
CA 95403-3634
Mailing Address 3883 Airway Dr
Suite 300
Santa Rosa
CA 95403-1670
Practice Telephone 7075711280
Practice Fax Number 7075785849
Mailing Telephone 7075218809
Mailing Fax Number 7075218835
Enumeration Date 2006-10-06
Last Update Date 2008-04-20
Authorized Official Name LINDA E ROCKSTROH (CREDENTIALING SPECIALIST)
Authorized Official Telephone 7075218809
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 176B00000X Midwife ========= CA Other Service Providers
N 207V00000X Obstetrics & Gynecology ========= CA Allopathic & Osteopathic Physicians
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 207Q00000X Family Medicine ========= CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA GR0055429 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1679711857 Sutter Medical Group of The Redwoods Internal Medicine 5150 Hill Rd Ste C, Suite C, Lakeport, CA 95453-5100 2009-01-27
1144479841 Sutter Medical Group of The Redwoods Surgery 451 March Ave Ste B, Healdsburg, CA 95448-3387 2008-09-17
1154577831 Sutter Medical Group of The Redwoods Family Medicine 500 Doyle Park D., 200, Santa Rosa, CA 95405 2008-08-13
1003072851 Sutter Medical Group of The Redwoods Internal Medicine 4725a Hoen Ave, Santa Rosa, CA 95405-7862 2008-07-31
1639330913 Sutter Medical Group of The Redwoods Family Medicine 5150 East Hill Road, Suite D, Lakeport, CA 95453-5101 2008-06-19
1861589483 Sutter Medical Group of The Redwoods Obstetrics & Gynecology 1400 Medical Center Dr, Suite A, Rohnert Park, CA 94928-2924 2006-10-06
1558396986 Sutter Medical Group of The Redwoods Family Medicine 3324 Chanate Rd, Santa Rosa, CA 95404 2006-07-12
1760638449 Sutter Medical Group of The Redwoods Pediatrics 255 Farmers Ln, Santa Rosa, CA 95405-4721 2008-08-13
1639334436 Sutter Medical Group of The Redwoods Family Medicine 8465 Old Redwood Hwy, Suite 320, Windsor, CA 95492-8090 2008-07-22
1366628224 Sutter Medical Group of The Redwoods Urology 500 Doyle Park Dr, Ste. 303, Santa Rosa, CA 95405-4558 2008-01-10

Office Location

Street Address 3536 MENDOCINO AVE
SUITE 300
City SANTA ROSA
State CA
Zip Code 95403-3634

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164425914 Patrick J Caskey Ophthalmology 3536 Mendocino Ave, Ste 380, Santa Rosa, CA 95403-3612 2005-05-24
1134517139 Emine C. Loxley Dmd, PC Clinic/Center 3536 Mendocino Ave, Suite 330, Santa Rosa, CA 95403-3634 2014-12-30
1295152379 Matthew Armstrong Powers Student in an Organized Health Care Education/Training Program 3536 Mendocino Ave, Ste 380, Santa Rosa, CA 95403-3612 2014-03-26
1083954515 Deborah Ann Magee Nurse Practitioner 3536 Mendocino Ave, Suite 200, Santa Rosa, CA 95403-3634 2013-02-20
1407145477 Nayabei Barretto Nurse Practitioner 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 2011-03-30
1811128275 Kimberly Brayton Brayton Internal Medicine 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 2009-08-03
1144455825 Vishal Ghanshyam Patel Internal Medicine 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 2009-05-25
1881844397 Deborah Wolff-baker Nurse Practitioner 3536 Mendocino Ave, Ste 300, Santa Rosa, CA 95403-3634 2008-09-22
1356540272 Jaime Jeremy Molden Internal Medicine 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 2007-07-11
1972704542 Sutter Medical Foundation Surgery 3536 Mendocino Ave, Suite 300, Santa Rosa, CA 95403-3634 2007-05-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912549841 Abundance Acupuncture Healing Clinic Acupuncturist 3410 Mendocino Avenue, Santa Rosa, CA 95403 2019-10-11
1982161337 Crystal J Ward Registered Nurse 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 2019-02-21
1033674379 George Edward Griese Respiratory Therapist, Registered 501 Bicentennial Way, Santa Rosa, CA 95403 2019-01-31
1508320672 East-west Natural Medicine Inc. Acupuncturist 2200 Range Ave #207, Santa Rosa, CA 95403 2019-01-23
1316410640 Lionel C Cooper Counselor 315 Mark West Springs Road, Santa Rosa, CA 95403 2019-01-09
1326519182 Jkb Solutions Inc. In Home Supportive Care 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 2018-12-05
1487121265 Catholic Charities of The Diocese of Santa Rosa Clinic/Center 987 Airway Ct, Santa Rosa, CA 95403 2018-10-30
1447746524 Lisa Jean Quang Optometrist 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 2018-07-02
1598253353 Jennifer Renee Lummus Community Health Worker 3614 Condo Court, Santa Rosa, CA 95403 2018-04-27
1871042366 Sadie Thuet Marriage & Family Therapist 3434 A Mendocino Ave, Santa Rosa, CA 95403 2016-09-26
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346889581 Herbert Carey Pratt Family Medicine 4210 Thomas Lake Harris Dr Apt 217, Santa Rosa, CA 95403-5793 2020-01-06
1346883998 Teresa Su Family Medicine 2200 County Center Dr Ste C, Santa Rosa, CA 95403-3000 2019-10-25
1114468568 Erica Kumala Family Medicine 401 Bicentennial Way Ste 285, Santa Rosa, CA 95403-2149 2017-03-18
1922413673 Aurora Alejandra Gomez Selpides Family Medicine 2240 Mercury Way, Santa Rosa, CA 95407 2014-06-20
1467745950 Courtney King Family Medicine 4702 Starbuck Ave, Santa Rosa, CA 95409 2011-05-17
1801186648 Adam Crawford Francis Family Medicine 3569 Round Barn Cir Ste 200, Santa Rosa, CA 95403-1757 2011-04-13
1811217003 Dora Alicia Martinez Family Medicine 122 Fm 506, Santa Rosa, TX 78593-0226 2010-06-10
1558518290 John Andrew Carollo Jr. Family Medicine 5555 Montgomery Dr Apt 36, Santa Rosa, CA 95409-5597 2008-08-25
1154577831 Sutter Medical Group of The Redwoods Family Medicine 500 Doyle Park D., 200, Santa Rosa, CA 95405 2008-08-13
1013175918 Lucia Dei Roncalli Family Medicine 1010 Sundown Trl, Santa Rosa, CA 95404-1115 2008-05-28
Find all providers in SANTA ROSA

Competitor

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City SANTA ROSA
Zip Code 95403

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Dataset Information

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.

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