BLOOD BANK OF THE REDWOODS (NPI# 1255543302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255543302 |
| Entity Type | Organization |
| Organization Name | BLOOD BANK OF THE REDWOODS |
| Practice Address |
2324 Bethards Drive Santa Rosa CA 95405-8537 |
| Practice Telephone | 7075451222 |
| Practice Fax Number | 7075710152 |
| Mailing Telephone | 7075451222 |
| Mailing Fax Number | 7075710152 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. CATHY BRYAN (PRESIDENT CEO) |
| Authorized Official Telephone | 7075451222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 331L00000X | Blood Bank | 9312 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BB0001970 | 05 |
| Street Address |
2324 BETHARDS DRIVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-8537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 331L00000X |
| Grouping | Suppliers |
| Classification | Blood Bank |
| An institution (organization or distinct part thereof) that performs, or is responsible for the performance of, the collection, processing, storage and/or issuance of human blood and blood components, intended for transfusion. The institution may also collect, process, and/or distribute human tissue, including bone marrow and peripheral blood progenitor cells, intended for transplantation. |
| Notes: Source: American Association of Blood Banks, Standards for Blood Banks and Tranfusion, 17th ed. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487975298 | On Time Medical Equipment & Supply | Blood Bank | 113 E Chestnut St, Glendale, CA 91205-2174 | 2010-06-15 |
| 1548489024 | Vitalant | Blood Bank | 10536 Peter A Mccuen Blvd, Mather, CA 95655-4128 | 2007-04-24 |
| 1164647954 | San Diego Blood Bank | Blood Bank | 3636 Gateway Center Ave Ste 100, San Diego, CA 92102-4508 | 2007-04-16 |
| 1245258615 | A To Z Healthcare Supply Inc | Blood Bank | 2457 E Washington Blvd, Pasadena, CA 91104-2041 | 2006-07-17 |
| 1891031977 | Victor Yu-ching Hsu, M.d., Inc. | Blood Bank | 845 W La Veta Ave Ste 107a, Orange, CA 92868-3930 | 2012-12-18 |
| 1962712505 | Stanford Blood Center, LLC | Blood Bank | 3373 Hillview Ave, Palo Alto, CA 94304 | 2010-10-18 |
| 1164657748 | Lifesource Technologies Inc. | Blood Bank | 1307 W 6th St, Suite 207, Corona, CA 92882-3294 | 2009-05-26 |
| 1376749499 | Blood Centers of The Pacific | Blood Bank | 270 Masonic Ave, San Francisco, CA 94118-4417 | 2007-06-25 |
| City | SANTA ROSA |
| Zip Code | 95405 |
Please comment or provide details below to improve the information on BLOOD BANK OF THE REDWOODS.
| 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.