REDWOOD REGIONAL MEDICAL GROUP, INC. (NPI# 1679652358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679652358 |
| Entity Type | Organization |
| Organization Name | REDWOOD REGIONAL MEDICAL GROUP, INC. |
| Practice Address |
181 Lynch Creek Way Ste 102 Petaluma CA 94954-2388 |
| Practice Telephone | 7077667074 |
| Practice Fax Number | 7077667075 |
| Mailing Telephone | 7077667074 |
| Mailing Fax Number | 7077667075 |
| Enumeration Date | 2006-11-03 |
| 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 |
|---|---|---|---|---|---|
| X | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
| X | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians | ||
| X | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| 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 |
| 1487739223 | Redwood Regional Medical Group, Inc. | Clinical Medical Laboratory | 110 Lynch Creek Way Ste 110, Petaluma, CA 94954-2337 | 2006-10-26 |
| 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 |
181 LYNCH CREEK WAY STE 102 |
| City | PETALUMA |
| State | CA |
| Zip Code | 94954-2388 |
| 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 | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795881 | Valerie Rondone | Radiology | 2574 Raleigh Way, El Dorado Hills, CA 95762-6973 | 2020-09-23 |
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1417416124 | Adventist Health Physicians Network | Radiology | 155 Solano St Ste 101, Corning, CA 96021-3511 | 2019-03-13 |
| 1770068991 | Reham Aboughali | Radiology | 20349 Anza Ave Apt 27, Torrance, CA 90503-7410 | 2018-10-03 |
| 1962910513 | Excel Imaging Center Inc | Radiology | 13071 Brookhurst St Ste 100, Garden Grove, CA 92843-5514 | 2018-01-17 |
| 1467972315 | Radtech Services Inc | Radiology | 2826 Racine St, Simi Valley, CA 93065-2730 | 2017-06-22 |
| 1619363496 | Nathan Ashley | Radiology | 620 N Bonhill Rd, Los Angeles, CA 90049-2302 | 2015-04-08 |
| 1851709984 | Reveal Diagnostics, LLC | Radiology | 6080 Hellyer Ave, Suite 175, San Jose, CA 95138-1052 | 2014-08-01 |
| 1770912784 | William George Hayden | Radiology | 20 Ciervos Rd, Portola Valley, CA 94028-8107 | 2013-11-11 |
| 1215362942 | Reveal Diagnostics LLC | Radiology | 4217 Piedmont Avenue, Suite B, Oakland, CA 94611 | 2013-09-12 |
| Find all providers with the same taxonomy | ||||
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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.