NPIMap

Organization Active NPI

Redwood Regional Medical Group, Inc.

Doing business as Redwood Regional Oncology Center

  • Clinical Medical Laboratory
  • Lakeport, CA
National Provider Identifier
1033294574
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF10300 Issued in CA
Legal business name
REDWOOD REGIONAL MEDICAL GROUP, INC.
Doing business as
Redwood Regional Oncology Center
Practice address
5150 Hill Rd E Ste F
Lakeport, CA 95453-5100
Phone
(707) 262-3060
Fax
(707) 262-3062
NPI assigned
Oct 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David H. Schmidt, M.D.NPI 1114017571
Title
M.D./Radiologist
Phone
(707) 546-4062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF10300 CA Primary

Addresses

Primary practice location

5150 Hill Rd E Ste F
Lakeport, CA 95453-5100

Mailing address

5150 Hill Rd E Ste F
Lakeport, CA 95453-5100
Phone (707) 262-3060

Other identifiers 1

IdentifierTypeStateIssuer
GR0049205MedicaidCA

Other names 1

  • Redwood Regional Oncology Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Redwood Regional Medica17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

5150 Hill Rd E
Ste F
Lakeport, CA 95453
Phone (707) 262-3060

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033294574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 HILL RD E STE F",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535100",
            "telephone_number": "707-262-3060",
            "fax_number": "707-262-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 HILL RD E STE F",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535100",
            "telephone_number": "707-262-3060",
            "fax_number": "707-262-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD REGIONAL MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "M.D./RADIOLOGIST",
        "authorized_official_telephone_number": "707-546-4062",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF10300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0049205",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwood Regional Oncology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeport, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.