Redwood Empire Dermatology Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

REDWOOD EMPIRE DERMATOLOGY INC

Practice address

990 Sonoma Ave Ste 2
Santa Rosa, CA 95404-4813

Phone

(707) 579-4239

Fax

(707) 579-0459

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Dale Raymond Westrom, M.D., PH.D.

Title

President

Phone

(707) 579-4239

Specialties & licenses 1

Addresses

Other names 1

• Dermatology Associates of Sonoma County Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly Louise Christman, M.D.

  • MOHS-Micrographic Surgery Physician
  • Sausalito, CA
  • NPI 1275567323
  NPD
• Ann Kathleen Jamgochian, FNP

  • Family Nurse Practitioner
  • Fort Bragg, CA
  • NPI 1295873941
  NPD (past)
• Warren Victor Ayers, MD

  • Orthopaedic Surgery Physician
  • Wailuku, HI
  • NPI 1750460804
  NPD (past)
• Kathryn Anne Rohr, M.D.

  • Orthopaedic Surgery Physician
  • Edgecomb, ME
  • NPI 1366549008
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154496248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 SONOMA AVE STE 2",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044813",
            "telephone_number": "707-579-4239",
            "fax_number": "707-579-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 SONOMA AVE STE 2",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044813",
            "telephone_number": "707-579-4239",
            "fax_number": "707-579-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD EMPIRE DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESTROM",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-579-4239",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Associates of Sonoma County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Red Thread Institute
• Jeffrey Don Rediger, M.D.
• Stephen Reding
• Redwood Anesthesia Medical Associates
• Redwood Dermatopathology Laboratory
• Redwood Fam Dermatology Medical Associates - a Medical Corporation
• Redwood Gospel Missions
• Redwood Hand Therapy Inc
• Redwood Orthopaedic Surgery Associates AMC
• Redwood Pediatric Therapy Associates Inc

• Specialist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Specialist in California

• 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.