SANTA ROSA TRAUMA PHYSICIANS MEDICAL GROUP


Address: 3536 Mendocino Ave, Suite 250, Santa Rosa, CA 95403-3634
Phone: 7075792100

SANTA ROSA TRAUMA PHYSICIANS MEDICAL GROUP (NPI# 1184673162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184673162
Entity Type Organization
Organization Name SANTA ROSA TRAUMA PHYSICIANS MEDICAL GROUP
Practice Address 3536 Mendocino Ave
Suite 250
Santa Rosa
CA 95403-3634
Mailing Address 1165 Montgomery Dr
Santa Rosa
CA 95405-4801
Practice Telephone 7075792100
Practice Fax Number 7075230616
Mailing Telephone 7075792100
Mailing Fax Number 7075230616
Enumeration Date 2006-05-08
Last Update Date 2020-08-22
Authorized Official Name BRIAN F. SCHMIDT (TRAUMA SERVICES MEDICAL DIRECTOR)
Authorized Official Telephone 7075792100
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 204C00000X Neuromusculoskeletal Medicine, Sports Medicine Allopathic & Osteopathic Physicians
X 204D00000X Neuromusculoskeletal Medicine & OMM Allopathic & Osteopathic Physicians
X 208600000X Surgery Allopathic & Osteopathic Physicians
X 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
X 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
X 213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers
X 207T00000X Neurological Surgery Allopathic & Osteopathic Physicians
X 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians
X 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
Allopathic & Osteopathic Physicians
X 207RN0300X Internal Medicine
Specialization: Nephrology
Allopathic & Osteopathic Physicians
X 207W00000X Ophthalmology Allopathic & Osteopathic Physicians
X 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians
X 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians
X 208D00000X General Practice Allopathic & Osteopathic Physicians
X 2086S0127X Surgery
Specialization: Trauma Surgery
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 0071210 05

Office Location

Street Address 3536 MENDOCINO AVE
SUITE 250
City SANTA ROSA
State CA
Zip Code 95403-3634

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164425914 Patrick J Caskey Ophthalmology 3536 Mendocino Ave, Ste 380, Santa Rosa, CA 95403-3612 2005-05-24
1134517139 Emine C. Loxley Dmd, PC Clinic/Center 3536 Mendocino Ave, Suite 330, Santa Rosa, CA 95403-3634 2014-12-30
1295152379 Matthew Armstrong Powers Student in an Organized Health Care Education/Training Program 3536 Mendocino Ave, Ste 380, Santa Rosa, CA 95403-3612 2014-03-26
1083954515 Deborah Ann Magee Nurse Practitioner 3536 Mendocino Ave, Suite 200, Santa Rosa, CA 95403-3634 2013-02-20
1407145477 Nayabei Barretto Nurse Practitioner 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 2011-03-30
1811128275 Kimberly Brayton Brayton Internal Medicine 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 2009-08-03
1144455825 Vishal Ghanshyam Patel Internal Medicine 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 2009-05-25
1881844397 Deborah Wolff-baker Nurse Practitioner 3536 Mendocino Ave, Ste 300, Santa Rosa, CA 95403-3634 2008-09-22
1356540272 Jaime Jeremy Molden Internal Medicine 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 2007-07-11
1972704542 Sutter Medical Foundation Surgery 3536 Mendocino Ave, Suite 300, Santa Rosa, CA 95403-3634 2007-05-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912549841 Abundance Acupuncture Healing Clinic Acupuncturist 3410 Mendocino Avenue, Santa Rosa, CA 95403 2019-10-11
1982161337 Crystal J Ward Registered Nurse 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 2019-02-21
1033674379 George Edward Griese Respiratory Therapist, Registered 501 Bicentennial Way, Santa Rosa, CA 95403 2019-01-31
1508320672 East-west Natural Medicine Inc. Acupuncturist 2200 Range Ave #207, Santa Rosa, CA 95403 2019-01-23
1316410640 Lionel C Cooper Counselor 315 Mark West Springs Road, Santa Rosa, CA 95403 2019-01-09
1326519182 Jkb Solutions Inc. In Home Supportive Care 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 2018-12-05
1487121265 Catholic Charities of The Diocese of Santa Rosa Clinic/Center 987 Airway Ct, Santa Rosa, CA 95403 2018-10-30
1447746524 Lisa Jean Quang Optometrist 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 2018-07-02
1598253353 Jennifer Renee Lummus Community Health Worker 3614 Condo Court, Santa Rosa, CA 95403 2018-04-27
1871042366 Sadie Thuet Marriage & Family Therapist 3434 A Mendocino Ave, Santa Rosa, CA 95403 2016-09-26
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Taxonomy Information

Taxonomy Code 204C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neuromusculoskeletal Medicine, Sports Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114531837 Resham Macfarlane Neuromusculoskeletal Medicine, Sports Medicine 3025 Dana St, Berkeley, CA 94705-2041 2020-08-31
1578065934 Shae Nicole Morgan Neuromusculoskeletal Medicine, Sports Medicine 12891 Indiana Ave Unit 41, Riverside, CA 92503-4679 2018-03-01
1578843793 Krista Senness Lund Neuromusculoskeletal Medicine, Sports Medicine 120 N Clovis Ave Bldg 65, Clovis, CA 93612-0303 2011-08-18
1851697809 William James Meecham Neuromusculoskeletal Medicine, Sports Medicine 4280 Redwood Hwy Ste 4, San Rafael, CA 94903-2600 2011-02-08
1689980534 Avon Day Manney Neuromusculoskeletal Medicine, Sports Medicine 5737 Thornhill Dr Ste 207b, Oakland, CA 94611-2144 2010-08-28
1104153113 Orange County Medical Group, Inc. Neuromusculoskeletal Medicine, Sports Medicine 1211 W La Palma Ave Ste 709, Anaheim, CA 92801-2814 2009-11-11
1750614343 Westwood Neurodiagnostic Center Neuromusculoskeletal Medicine, Sports Medicine 11022 Santa Monica Blvd Ste 310, Los Angeles, CA 90025-7558 2009-09-14
1922295344 Wilshire Neuro-diagnostics Neuromusculoskeletal Medicine, Sports Medicine 237 S La Cienega Blvd, Beverly Hills, CA 90211-3301 2007-09-30
1699972042 Giang-tuyet Nguyen Lam Neuromusculoskeletal Medicine, Sports Medicine 26001 Redlands Blvd, Physical Medicine Department, Redlands, CA 92373 2007-06-29
1760684757 Carter Harrison Sigmon Neuromusculoskeletal Medicine, Sports Medicine 16089 San Dieguito Rd, H102, Rancho Santa Fe, CA 92067 2007-06-03
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Competitor

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City SANTA ROSA
Zip Code 95403

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Dataset Information

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.

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