Blood Bank of the Redwoods

Primary specialty

Blood BankTaxonomy code 331L00000X

License

9312 Issued in CA

Legal business name

BLOOD BANK OF THE REDWOODS

Practice address

2324 Bethards Drive
Santa Rosa, CA 95405-8537

Phone

(707) 545-1222

Fax

(707) 571-0152

NPI assigned

May 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cathy Bryan

Title

President Ceo

Phone

(707) 545-1222

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255543302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 BETHARDS DRIVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954058537",
            "telephone_number": "707-545-1222",
            "fax_number": "707-571-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 BETHARDS DRIVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954058537",
            "telephone_number": "707-545-1222",
            "fax_number": "707-571-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOD BANK OF THE REDWOODS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "707-545-1222",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "331L00000X",
            "taxonomy_group": "",
            "desc": "Blood Bank",
            "state": "CA",
            "license": "9312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BB0001970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Perry Blechel, PT
• Jennifer Danielle Bleck
• Wolfgang R. Bley, MD
• Conrad E Block, DDS
• Mitchell Blomseth
• David-James Bloom, MD
• Richard Bloom, MFT
• Lorraine Blue, MFT
• Lisa Marie Boardman, MPT
• Gwendolyn A. Boatman, MD

• Blood Bank in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Blood Bank 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.