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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GR0055429 | 05 |
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 |
Street Address |
3536 MENDOCINO AVE SUITE 300 |
City | SANTA ROSA |
State | CA |
Zip Code | 95403-3634 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 95403 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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 |
City | SANTA ROSA |
Zip Code | 95403 |
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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.