Sutter Medical Group of the Redwoods

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SUTTER MEDICAL GROUP OF THE REDWOODS

Practice address

5150 East Hill Road
Suite D
Lakeport, CA 95453-5101

Phone

(707) 262-5000

Fax

(707) 262-5064

NPI assigned

Jun 19, 2008

Last updated

Jul 31, 2008By 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

Dr. Steven E Levenberg, D.O.

Title

President

Phone

(707) 521-8879

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1639330913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3883 AIRWAY DR",
            "address_2": "SUITE 300",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031670",
            "telephone_number": "707-521-8809",
            "fax_number": "707-521-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 EAST HILL ROAD",
            "address_2": "SUITE D",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535101",
            "telephone_number": "707-262-5000",
            "fax_number": "707-262-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER MEDICAL GROUP OF THE REDWOODS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "LEVENBERG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-521-8879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sutter Lakeside Hospital
• Sutter Lakeside Hospital
• Sutter Lakeside Hospital (Sutter Lakeside Hospital Mobile Health Clinic)
• Sutter Lakeside Hospital
• Sutter Lakeside Hospital
• Sutter Medical Group of the Redwoods
• Sutter Visiting Nurse Association and Hospice (Sutter Care at Home)
• Sutter West Bay Hospitals (Sutter Lakeside Hospital Mobile Health Clinic)
• Sutter West Bay Hospitals (Lakeside Family Health)
• Taira St. John (Clear Lake Counseling Center)

• Family Medicine Physician in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.