NPIMap

Organization Active NPI

Redwood Regional Medical Group, Inc.

  • Surgery Physician
  • Santa Rosa, CA
National Provider Identifier
1215016993
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
REDWOOD REGIONAL MEDICAL GROUP, INC.
Practice address
625 Steele LN
Santa Rosa, CA 95403-3127
Phone
(707) 935-5460
Fax
(707) 935-5466
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X

Addresses

Primary practice location

625 Steele LN
Santa Rosa, CA 95403-3127

Mailing address

347 Andrieux St Ste 1
Sonoma, CA 95476-6811
Phone (707) 935-5460

Other identifiers 1

IdentifierTypeStateIssuer
GR0049206MedicaidCA

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

625 Steele Ln
Santa Rosa, CA 95403
Phone (707) 576-0818

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1215016993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 ANDRIEUX ST STE 1",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766811",
            "telephone_number": "707-935-5460",
            "fax_number": "707-935-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 STEELE LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033127",
            "telephone_number": "707-935-5460",
            "fax_number": "707-935-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD REGIONAL MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-11-13",
        "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": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0049206",
            "state": "CA"
        }
    ],
    "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 Nov 13, 2007; 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.