NPIMap

Organization Active NPI

Redwood Orthopaedic Surgery Associates AMC

  • Specialist
  • Santa Rosa, CA
National Provider Identifier
1215023056
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
GR0046620 Issued in CA
Legal business name
REDWOOD ORTHOPAEDIC SURGERY ASSOCIATES AMC
Practice address
208 Concourse Blvd
Suite #1
Santa Rosa, CA 95403-8210
Phone
(707) 544-3400
Fax
(707) 544-3400
NPI assigned
Oct 5, 2006
Last updated
Jul 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Tara Ann Hoff, ATC
Title
Practice Administrator
Phone
(707) 755-5405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X GR0046620 CA Primary

Addresses

Primary practice location

208 Concourse Blvd
Suite #1
Santa Rosa, CA 95403-8210

Mailing address

208 Concourse Blvd
Suite #1
Santa Rosa, CA 95403-8210
Phone (707) 544-3400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thoff@ROSA2015.srs-direct.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050627001384 CA Part B Supplier - Clinic/Group Practice 1850336157 Receives reassigned benefits from 15 practitioners
Practice locations: Santa Rosa, CA
O20111216000292 CA DME Supplier - Physician - Unknown Physician Specialty 1850336157 Practice locations: Santa Rosa, CA

National Provider Directory

National Provider Directory

Locations

171 Lynch Creek Way
Ste 101
Petaluma, CA 94954

191 Lynch Creek Way
Ste 101
Petaluma, CA 94954
Phone (707) 968-7295

208 Concourse Blvd
Santa Rosa, CA 95403
Phone (707) 303-4992

990 Sonoma Ave
Ste 8
Santa Rosa, CA 95404
Phone (707) 544-3400

Interoperability endpoints

  • Direct secure messaging: thoff@rosa2015.srs-direct.com

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1215023056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 CONCOURSE BLVD",
            "address_2": "SUITE #1",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038210",
            "telephone_number": "707-544-3400",
            "fax_number": "707-544-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 CONCOURSE BLVD",
            "address_2": "SUITE #1",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038210",
            "telephone_number": "707-544-3400",
            "fax_number": "707-544-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD ORTHOPAEDIC SURGERY ASSOCIATES AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "HOFF",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "707-755-5405",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "GR0046620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thoff@ROSA2015.srs-direct.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "208 Concourse Blvd",
            "address_2": "Suite #1",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954038210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.