Organization Active NPI

Anesthesia & Analgesia Medical Group, Inc.

  • Anesthesiology Physician
  • Santa Rosa, CA
National Provider Identifier
1659320984
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ANESTHESIA & ANALGESIA MEDICAL GROUP, INC.
Practice address
2455 Bennett Valley Rd Ste C219
Santa Rosa, CA 95404-5651
Phone
(707) 522-1800
NPI assigned
May 5, 2006
Last updated
Jan 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Colin Edward BauerNPI 1245471051
Title
President/Ceo
Phone
(707) 522-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

2455 Bennett Valley Rd Ste C219
Santa Rosa, CA 95404-5651

Mailing address

PO Box 49246
San Jose, CA 95161-9246
Phone (503) 372-2740

Other identifiers 1

IdentifierTypeStateIssuer
GR0049070MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040419000685 CA Part B Supplier - Clinic/Group Practice 1153316112 Receives reassigned benefits from 138 practitioners
Practice locations: Napa, CA; Sebastopol, CA; Santa Rosa, CA; Petaluma, CA; Healdsburg, CA

National Provider Directory

National Provider Directory

Locations

1383 N McDowell Blvd
Ste 110A
Petaluma, CA 94954
Phone (707) 938-9685

1720 4th St
Santa Rosa, CA 95404
Phone (707) 546-8100

2455 Bennett Valley Rd
Ste C219
Santa Rosa, CA 95404
Phone (707) 522-1800

3540 Mendocino Ave
Santa Rosa, CA 95403
Phone (707) 522-6200

76 Brookwood Ave
Santa Rosa, CA 95404
Phone (707) 523-2381

76 Brookwood Ave
Ste B
Santa Rosa, CA 95404
Phone (707) 523-2381

837 5th St
Fl 2
Santa Rosa, CA 95404
Phone (650) 793-0657

Practitioners & affiliated clinicians

Practitioners 156

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 156

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1659320984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49246",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951619246",
            "telephone_number": "503-372-2740",
            "fax_number": "503-372-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 BENNETT VALLEY RD STE C219",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045651",
            "telephone_number": "707-522-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA & ANALGESIA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "707-522-1800"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0049070",
            "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 Jan 8, 2025; 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.