Active NPI
Sutter Medical Group of the Redwoods
- Surgery Physician
- Healdsburg, CA
National Provider Identifier
1144479841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SUTTER MEDICAL GROUP OF THE REDWOODS
- Practice address
- 451 March Ave Ste B
Healdsburg, CA 95448-3387 - Phone
- (707) 433-8844
- Fax
- (707) 433-8836
- NPI assigned
- Sep 17, 2008
- Last updated
- Sep 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven E Levenberg, D.O.
- Title
- President, SMGR
- Phone
- (707) 521-8879
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
451 March Ave Ste B
Healdsburg, CA 95448-3387
Mailing address
3883 Airway Dr
Suite 300
Santa Rosa, CA 95403-1670
Phone (707) 521-8809
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221609600000",
"number": "1144479841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3883 AIRWAY DR",
"address_2": "SUITE 300",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954031670",
"telephone_number": "707-521-8809",
"fax_number": "707-521-8835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 MARCH AVE STE B",
"city": "HEALDSBURG",
"state": "CA",
"postal_code": "954483387",
"telephone_number": "707-433-8844",
"fax_number": "707-433-8836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUTTER MEDICAL GROUP OF THE REDWOODS",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-17",
"last_updated": "2008-09-17",
"status": "A",
"authorized_official_last_name": "LEVENBERG",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT, SMGR",
"authorized_official_telephone_number": "707-521-8879",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Healdsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.