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SUTTER MEDICAL GROUP OF THE REDWOODS NPI 1407970544


NPI Information

NPI: 1407970544
Provider Name: SUTTER MEDICAL GROUP OF THE REDWOODS
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1200 SONOMA AVE
SUITE 6
SANTA ROSA, CA
ZIP 95405
Phone: (707) 545-2545
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SUTTER MEDICAL GROUP OF THE REDWOODS is a pediatrics in Santa Rosa, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SUTTER MEDICAL GROUP OF THE REDWOODS NPI is 1407970544. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1200 SONOMA AVE
SUITE 6
SANTA ROSA, CA
ZIP 95405-664
Phone: (707) 545-2545
Fax: (707) 545-1829

The provider's authorized official is Linda E Rockstroh .
The authorized official title is Credentialing Specialist and has the following contact phone number (707) 521-8809.

The enumeration date for this NPI number is 3/16/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080N0001XPediatricsNeonatal-Perinatal Medicine=========CALIFORNIANo
2363L00000XNurse Practitioner=========CALIFORNIANo
3208000000XPediatrics=========CALIFORNIAYes

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
1ZZZ04917ZMEDICARE 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: 11/14/2023

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