REDWOOD REGIONAL MEDICAL GROUP, INC. (NPI# 1487739223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487739223 |
| Entity Type | Organization |
| Organization Name | REDWOOD REGIONAL MEDICAL GROUP, INC. |
| Other Organization Name | REDWOOD REGIONAL ONCOLOGY CENTER |
| Practice Address |
110 Lynch Creek Way Ste 110 Petaluma CA 94954-2337 |
| Practice Telephone | 7077630600 |
| Practice Fax Number | 7077651757 |
| Mailing Telephone | 7077630600 |
| Mailing Fax Number | 7077651757 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID H. SCHMIDT (M.D./RADIOLOGIST) |
| Authorized Official Telephone | 7075464062 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | CLF10300 | CA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0049200 | 05 | |
| CA | GR004920B | 05 |
| Other Name | Type Code |
|---|---|
| Redwood Regional Oncology Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477629855 | Redwood Regional Medical Group, Inc. | Internal Medicine | 652 Petaluma Ave Ste B, Sebastopol, CA 95472-4266 | 2006-11-28 |
| 1215016993 | Redwood Regional Medical Group, Inc. | Surgery | 625 Steele Ln, Santa Rosa, CA 95403-3127 | 2006-11-03 |
| 1679652358 | Redwood Regional Medical Group, Inc. | Radiology | 181 Lynch Creek Way Ste 102, Petaluma, CA 94954-2388 | 2006-11-03 |
| 1619064920 | Redwood Regional Medical Group, Inc. | Internal Medicine | 5150 Hill Rd E Ste F, Lakeport, CA 95453-5100 | 2006-10-06 |
| 1316034630 | Redwood Regional Medical Group, Inc. | Radiology | 1165 S Dora St Bldg H, Ukiah, CA 95482-8325 | 2006-10-06 |
| 1659468973 | Redwood Regional Medical Group, Inc. | Surgery | 347 Andrieux St Ste 1, Sonoma, CA 95476-6811 | 2006-10-06 |
| 1245241462 | Redwood Regional Medical Group, Inc. | Radiology | 3540 Mendocino Ave Ste 100, Santa Rosa, CA 95403-2276 | 2006-08-11 |
| 1891705257 | Redwood Regional Medical Group, Inc. | Internal Medicine | 3555 Round Barn Cir Ste 100, Santa Rosa, CA 95403-1757 | 2006-08-09 |
| 1952582215 | Redwood Regional Medical Group, Inc. | Internal Medicine | 1312 Prentice Dr, Healdsburg, CA 95448-3381 | 2007-11-15 |
| 1588743264 | Redwood Regional Medical Group, Inc. | Clinical Medical Laboratory | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2006-11-03 |
| Street Address |
110 LYNCH CREEK WAY STE 110 |
| City | PETALUMA |
| State | CA |
| Zip Code | 94954-2337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883840 | Miguel Ibarra | Counselor | 5350 Old Redwood Highway, Petaluma, CA 94954 | 2019-10-28 |
| 1073169223 | Monica Renee Najera | Behavior Technician | 1670 Corporate Circle, Ste. 100, Petaluma, CA 94954 | 2019-08-14 |
| 1326607201 | Making Magic Happen - People Helping People, Inc. | Marriage & Family Therapist | 1318 Redwood Way, Suite 260, Petaluma, CA 94954 | 2019-06-13 |
| 1477019917 | Rubi Isela Cruz Mendoza I | Behavioral Analyst | 8 Round Walk Circle, Petaluma, CA 94954 | 2019-02-20 |
| 1932679511 | Karen Christianson | Behavior Technician | 1670 Corporate Circle Suite 100, Petaluma, CA 94954 | 2018-11-27 |
| 1669956967 | Alyssa Messer | Assistant Behavior Analyst | 1670 Corporate Cir, Petaluma, CA 94954 | 2018-09-21 |
| 1235620592 | Mallory Paige Mullikin | Nurse Practitioner | 141 Lynch Creek Trail, Ste C, Petaluma, CA 94954 | 2018-05-22 |
| 1457723710 | Lisabel Dolne | Counselor | 1360 N. Mcdowell Blvd.1a, Petaluma, CA 94954 | 2015-10-27 |
| 1083080717 | Pacific Restorative Center | Clinic/Center | 1456 Professional Drive, Suite 404, Petaluma, CA 94954 | 2015-08-17 |
| 1619354198 | Accu Quest Hearing Centers | Clinic/Center | 1456 Professional Dr., Suite 404, Petaluma, CA 94954 | 2015-05-04 |
| Find all providers in zip 94954 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104951912 | Unilab Corporation | Clinical Medical Laboratory | 1550 Professional Dr, Suite B, Petaluma, CA 94954-6655 | 2007-02-22 |
| 1841204518 | Redwood Regional Medical Group, Inc. | Clinical Medical Laboratory | 110 Lynch Creek Way Ste A, Petaluma, CA 94954-2337 | 2006-07-28 |
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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.