NPIMap

Organization Active NPI

Redwood Regional Medical Group Inc

  • Hematology & Oncology Physician
  • Santa Rosa, CA
National Provider Identifier
1275556607
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
REDWOOD REGIONAL MEDICAL GROUP INC
Practice address
3555 Round Barn Cir
Santa Rosa, CA 95403-1757
Phone
(707) 525-6124
Fax
(707) 525-4093
NPI assigned
Jul 26, 2006
Last updated
Feb 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Denise D Hayes
Title
Chief Operating Officer
Phone
(707) 525-6691

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 05D0612494 CA
Nurse Practitioner 363L00000X NU
Hematology & Oncology Physician 207RH0003X NU Primary
Radiation Oncology Physician 2085R0001X NU
Diagnostic Radiology Physician 2085R0202X NU
Vascular & Interventional Radiology Physician 2085R0204X NU
Surgery Physician 208600000X NU
Vascular Surgery Physician 2086S0129X NU

Addresses

Primary practice location

3555 Round Barn Cir
Santa Rosa, CA 95403-1757

Mailing address

121 Sotoyome St
Santa Rosa, CA 95405-4823
Phone (707) 525-6124

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ83873ZMedicaidCA
GR0049201MedicaidCA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

451 March Ave
Ste C
Healdsburg, CA 95448
Phone (707) 546-4062

121 Sotoyome St
Ste 101
Santa Rosa, CA 95405
Phone (707) 525-1150

121 Sotoyome St
Ste 107
Santa Rosa, CA 95405
Phone (707) 546-4062

121 Sotoyome St
Ste 110
Santa Rosa, CA 95405
Phone (707) 546-4062

121 Sotoyome St
Ste 203
Santa Rosa, CA 95405
Phone (707) 525-4080

2449 Summerfield Rd
Santa Rosa, CA 95405
Phone (707) 523-7222

652 Petaluma Ave
Ste 1
Sebastopol, CA 95472
Phone (707) 892-2141

1165 S Dora St
Bldg H
Ukiah, CA 95482
Phone (707) 463-3636

244 Hospital Dr
Ste A
Ukiah, CA 95482
Phone (707) 468-5000

Practitioners & affiliated clinicians

Practitioners 52

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 52

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1275556607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SOTOYOME ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054823",
            "telephone_number": "707-525-6124",
            "fax_number": "707-525-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 ROUND BARN CIR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031757",
            "telephone_number": "707-525-6124",
            "fax_number": "707-525-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD REGIONAL MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "707-525-6691"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D0612494",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ83873Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0049201",
            "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 Feb 11, 2014; 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.