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REDWOOD REGIONAL MEDICAL GROUP INC NPI 1275556607


NPI Information

NPI: 1275556607
Provider Name: REDWOOD REGIONAL MEDICAL GROUP INC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
3555 ROUND BARN CIR
SANTA ROSA, CA
ZIP 95403
Phone: (707) 525-6124
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REDWOOD REGIONAL MEDICAL GROUP INC is a hematology and oncology internal medicine in Santa Rosa, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. REDWOOD REGIONAL MEDICAL GROUP INC NPI is 1275556607. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3555 ROUND BARN CIR
SANTA ROSA, CA
ZIP 95403-757
Phone: (707) 525-6124
Fax: (707) 525-4093

The provider's authorized official is Denise D Hayes .
The authorized official title is Chief Operating Officer and has the following contact phone number (707) 525-6691.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 2/11/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyNo
22085R0202XRadiologyDiagnostic RadiologyNo
32085R0204XRadiologyVascular & Interventional RadiologyNo
4208600000XSurgeryNo
52086S0129XSurgeryVascular SurgeryNo
6291U00000XClinical Medical Laboratory05D0612494CALIFORNIANo
7363L00000XNurse PractitionerNo
8207RH0003XInternal MedicineHematology & OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ83873ZMEDICAIDCALIFORNIA
2ZZZ00469ZMEDICARE PINCALIFORNIA
3ZZZ00532ZMEDICARE PINCALIFORNIA
4ZZZ00533ZMEDICARE PINCALIFORNIA
5ZZZ27964ZMEDICARE PINCALIFORNIA
6ZZZ45724ZMEDICARE PINCALIFORNIA
7ZZZ00528ZMEDICARE PINCALIFORNIA
8ZZZ00465ZMEDICARE PINCALIFORNIA
9ZZZ00525ZMEDICARE PINCALIFORNIA
10ZZZ13690ZMEDICARE PINCALIFORNIA
11ZZZ45723ZMEDICARE PINCALIFORNIA
12ZZZ00470ZMEDICARE PINCALIFORNIA
13ZZZ45721ZMEDICARE PINCALIFORNIA
14ZZZ45722ZMEDICARE PINCALIFORNIA
15ZZZ00467ZMEDICARE PINCALIFORNIA
16ZZZ00471ZMEDICARE PINCALIFORNIA
17GR0049201MEDICAIDCALIFORNIA
18ZZZ00468ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.