Annadel Medical Group, Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

ANNADEL MEDICAL GROUP, INC

Practice address

500 Doyle Park Dr
Suite 100
Santa Rosa, CA 95405-4558

Phone

(707) 544-6090

Fax

(707) 544-6694

NPI assigned

Sep 23, 2008

Last updated

May 31, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard E Igram

Title

Vice President

Phone

(714) 937-6280

Specialties & licenses 1

Addresses

Locations

Practitioners 19

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.

• Julie D Clark, MD

  • Obstetrics & Gynecology Physician
  • Petaluma, CA
  • NPI 1346216389
  NPD (past)
• Laura Anne Cosenza, CNP

  • Adult Health Nurse Practitioner
  • Santa Rosa, CA
  • NPI 1376852467
  NPD (past)
• Frederick Charles David, M.D.

  • Radiation Oncology Physician
  • Santa Rosa, CA
  • NPI 1982793808
  NPD (past)
• Marlon Decastro, M.D.

  • Internal Medicine Physician
  • Santa Rosa, CA
  • NPI 1780643270
  NPD (past)
• Armando V Depala Jr., MD

  • Pediatrics Physician
  • Petaluma, CA
  • NPI 1912938085
  NPD (past)
• David Allen Feinberg, M.D.

  • Diagnostic Radiology Physician
  • Santa Rosa, CA
  • NPI 1467541367
  NPD (past)
• Jotham Kahoro Gikuhi, FNP

  • Nurse Practitioner
  • Santa Rosa, CA
  • NPI 1780121582
  NPD (past)
• Jarrod Paul Holmes, MD

  • Hematology & Oncology Physician
  • Santa Rosa, CA
  • NPI 1013018035
  NPD (past)
• Jay Samuel Joseph, M.D.

  • Radiation Oncology Physician
  • Ukiah, CA
  • NPI 1396835153
  NPD (past)
• Anthony P. Kosinski, M.D.

  • Obstetrics & Gynecology Physician
  • Petaluma, CA
  • NPI 1588656631
  NPD (past)
• Sarah McVay, PSY.D.

  • Psychologist
  • Santa Rosa, CA
  • NPI 1255714952
  NPD (past)
• Frank Edward Modic, M.D.

  • Diagnostic Radiology Physician
  • Santa Rosa, CA
  • NPI 1871683326
  NPD (past)

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1114177425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E ORANGEWOOD AVE",
            "address_2": "SUITE 302",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056824",
            "telephone_number": "714-449-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DOYLE PARK DR",
            "address_2": "SUITE 100",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054558",
            "telephone_number": "707-544-6090",
            "fax_number": "707-544-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNADEL MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "IGRAM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "714-937-6280"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis A Angelo, CPNP
• David Anglada-Figueroa, PSY.D.
• Elizabeth Nicole Anguiano
• Perla Anguiano
• Annadel Medical Group
• Anova Education and Behavior Consultation, Inc.
• Olga Antipova
• Nicholas Harreld Anton, MD
• Michele Antonelli, HEALTH COACH
• Diana E Antonio

• Pediatrics Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.