SUTTER MEDICAL GROUP OF THE REDWOODS NPI 1508052572

NPI Information

NPI: 1508052572
Provider Name: SUTTER MEDICAL GROUP OF THE REDWOODS
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
625 STEELE LN
SANTA ROSA, CA
ZIP 95403
Phone: (707) 576-4800
Get Directions

SUTTER MEDICAL GROUP OF THE REDWOODS is a diagnostic radiology radiology in Santa Rosa, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SUTTER MEDICAL GROUP OF THE REDWOODS NPI is 1508052572. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

625 STEELE LN
SANTA ROSA, CA
ZIP 95403-127
Phone: (707) 576-4800
Fax: (707) 576-4825

The provider's authorized official is Lisa M Phillips .
The authorized official title is Credentialing Specialist and has the following contact phone number (707) 473-4531.

The enumeration date for this NPI number is 9/24/2007 and was last updated on 4/20/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	=========	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »