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REDWOOD REGIONAL MEDICAL GROUP INC. NPI 1841204518


NPI Information

NPI: 1841204518
Provider Name: REDWOOD REGIONAL MEDICAL GROUP, INC.

Doing Business As: REDWOOD REGIONAL ONCOLOGY CENTER

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
110 LYNCH CREEK WAY STE A
PETALUMA, CA
ZIP 94954
Phone: (707) 763-0600
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REDWOOD REGIONAL MEDICAL GROUP, INC. is a hematology and oncology internal medicine in Petaluma, 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 1841204518. The provider is registered as an organization entity type.
The provider Is Doing Business As Redwood Regional Oncology Center.

The provider's business location address is:

110 LYNCH CREEK WAY STE A
PETALUMA, CA
ZIP 94954-337
Phone: (707) 763-0600
Fax: (707) 765-1757

The provider's authorized official is Helen Collins .
The authorized official title is President and has the following contact phone number (707) 546-4602.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 4/28/2008.


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
1291U00000XClinical Medical Laboratory05D0689028CALIFORNIANo
22085R0001XRadiologyRadiation OncologyNo
3207RH0003XInternal 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
1ZZZ00471ZMEDICARE ID-TYPE UNSPECIFIED
2GR0049200MEDICAIDCALIFORNIA
3GR004920BMEDICAIDCALIFORNIA
4ZZZ00469ZMEDICARE ID-TYPE UNSPECIFIED

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

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