SUTTER MEDICAL GROUP OF THE REDWOODS (NPI# 1982798096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982798096 |
| Entity Type | Organization |
| Organization Name | SUTTER MEDICAL GROUP OF THE REDWOODS |
| Practice Address |
3315 Chanate Rd Suite 1c Santa Rosa CA 95404-1736 |
| Mailing Address |
3883 Airway Dr Suite 300 Santa Rosa CA 95403-1670 |
| Practice Telephone | 7075712486 |
| Practice Fax Number | 7075751872 |
| Mailing Telephone | 7075218809 |
| Mailing Fax Number | 7075218835 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | LINDA E ROCKSTROH (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7075218809 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
========= | CA | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
========= | CA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | ========= | CA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
========= | CA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | ========= | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0005542A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679711857 | Sutter Medical Group of The Redwoods | Internal Medicine | 5150 Hill Rd Ste C, Suite C, Lakeport, CA 95453-5100 | 2009-01-27 |
| 1144479841 | Sutter Medical Group of The Redwoods | Surgery | 451 March Ave Ste B, Healdsburg, CA 95448-3387 | 2008-09-17 |
| 1154577831 | Sutter Medical Group of The Redwoods | Family Medicine | 500 Doyle Park D., 200, Santa Rosa, CA 95405 | 2008-08-13 |
| 1003072851 | Sutter Medical Group of The Redwoods | Internal Medicine | 4725a Hoen Ave, Santa Rosa, CA 95405-7862 | 2008-07-31 |
| 1639330913 | Sutter Medical Group of The Redwoods | Family Medicine | 5150 East Hill Road, Suite D, Lakeport, CA 95453-5101 | 2008-06-19 |
| 1861589483 | Sutter Medical Group of The Redwoods | Obstetrics & Gynecology | 1400 Medical Center Dr, Suite A, Rohnert Park, CA 94928-2924 | 2006-10-06 |
| 1558396986 | Sutter Medical Group of The Redwoods | Family Medicine | 3324 Chanate Rd, Santa Rosa, CA 95404 | 2006-07-12 |
| 1760638449 | Sutter Medical Group of The Redwoods | Pediatrics | 255 Farmers Ln, Santa Rosa, CA 95405-4721 | 2008-08-13 |
| 1639334436 | Sutter Medical Group of The Redwoods | Family Medicine | 8465 Old Redwood Hwy, Suite 320, Windsor, CA 95492-8090 | 2008-07-22 |
| 1366628224 | Sutter Medical Group of The Redwoods | Urology | 500 Doyle Park Dr, Ste. 303, Santa Rosa, CA 95405-4558 | 2008-01-10 |
| Street Address |
3315 CHANATE RD SUITE 1C |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-1736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598795239 | Melvin Lawrence Thrash | Psychiatry & Neurology | 3315 Chanate Rd, Santa Rosa Va Mental Health Clinic, Santa Rosa, CA 95404-1736 | 2006-07-04 |
| 1598871949 | Kathy M Wong | Pharmacist | 3315 Chanate Rd, Suite 1e, Santa Rosa, CA 95404-1736 | 2006-08-21 |
| 1306854906 | Kathryn D King | Social Worker | 3315 Chanate Rd, Santa Rosa, CA 95404-1736 | 2006-08-03 |
| 1750316568 | Jose Maria Miramontes | Internal Medicine | 3315 Chanate Rd, Santa Rosa, CA 95404-1736 | 2006-07-11 |
| 1407889645 | Jenness Marie Keller | Dietitian, Registered | 3315 Chanate Rd, Sutie E, Santa Rosa, CA 95404-1736 | 2006-07-09 |
| 1598797367 | Stephen Phillip Pennington | Psychologist | 3315 Chanate Rd, Suite 1 B, Santa Rosa, CA 95404-1736 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889581 | Herbert Carey Pratt | Family Medicine | 4210 Thomas Lake Harris Dr Apt 217, Santa Rosa, CA 95403-5793 | 2020-01-06 |
| 1346883998 | Teresa Su | Family Medicine | 2200 County Center Dr Ste C, Santa Rosa, CA 95403-3000 | 2019-10-25 |
| 1114468568 | Erica Kumala | Family Medicine | 401 Bicentennial Way Ste 285, Santa Rosa, CA 95403-2149 | 2017-03-18 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1467745950 | Courtney King | Family Medicine | 4702 Starbuck Ave, Santa Rosa, CA 95409 | 2011-05-17 |
| 1801186648 | Adam Crawford Francis | Family Medicine | 3569 Round Barn Cir Ste 200, Santa Rosa, CA 95403-1757 | 2011-04-13 |
| 1811217003 | Dora Alicia Martinez | Family Medicine | 122 Fm 506, Santa Rosa, TX 78593-0226 | 2010-06-10 |
| 1558518290 | John Andrew Carollo Jr. | Family Medicine | 5555 Montgomery Dr Apt 36, Santa Rosa, CA 95409-5597 | 2008-08-25 |
| 1154577831 | Sutter Medical Group of The Redwoods | Family Medicine | 500 Doyle Park D., 200, Santa Rosa, CA 95405 | 2008-08-13 |
| 1013175918 | Lucia Dei Roncalli | Family Medicine | 1010 Sundown Trl, Santa Rosa, CA 95404-1115 | 2008-05-28 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
Please comment or provide details below to improve the information on SUTTER MEDICAL GROUP 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.