Sutter Medical Group of the Redwoods

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SUTTER MEDICAL GROUP OF THE REDWOODS

Practice address

8465 Old Redwood Hwy
Suite 320
Windsor, CA 95492-8090

Phone

(707) 521-8809

Fax

(707) 521-8835

NPI assigned

Jul 22, 2008

Last updated

Jul 22, 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, SMGR

Phone

(707) 521-8809

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1639334436",
    "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": "8465 OLD REDWOOD HWY",
            "address_2": "SUITE 320",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954928090",
            "telephone_number": "707-521-8809",
            "fax_number": "707-521-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER MEDICAL GROUP OF THE REDWOODS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "LEVENBERG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT, SMGR",
        "authorized_official_telephone_number": "707-521-8809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ013170Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0091420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Kay Stojack, DDS
• Cheryl Stone
• Elizabeth Jane Storm, MFT
• Shannon Renee Strasser, R.D.
• Meleah Sullivan, PH.D, PPS
• Tadesse Tesfamichael, DDS, a Professional Corporation
• Marlene Janet Tamayo-Tran, LMFT
• Melissa Tan, LMFT
• Melanie M Taylor
• Jennifer Terrell

• Family Medicine Physician in Windsor, CA
• Providers in Windsor, 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 22, 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.