Active NPI
Redwood Urology Medical Group
- Urology Physician
- Santa Rosa, CA
National Provider Identifier
1174549588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- REDWOOD UROLOGY MEDICAL GROUP
- Practice address
- 500 Doyle Park Dr Ste 303
Santa Rosa, CA 95405-4559 - Phone
- (707) 575-1833
- Fax
- (707) 575-3561
- NPI assigned
- Jul 15, 2006
- 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. James Palleschi, M.D.
- Title
- Managing Partner
- Phone
- (707) 575-1833
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
500 Doyle Park Dr Ste 303
Santa Rosa, CA 95405-4559
Mailing address
500 Doyle Park Dr Ste 303
Santa Rosa, CA 95405-4559
Phone (707) 575-1833
National Provider Directory
National Provider DirectoryLocations
500 Doyle Park Dr
Ste 303
Santa Rosa, CA 95405
Phone (707) 303-8300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174549588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 DOYLE PARK DR STE 303",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054559",
"telephone_number": "707-575-1833",
"fax_number": "707-575-3561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 DOYLE PARK DR STE 303",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054559",
"telephone_number": "707-575-1833",
"fax_number": "707-575-3561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDWOOD UROLOGY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PALLESCHI",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "707-575-1833",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, 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.