Sutter Medical Group of the Redwoods

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SUTTER MEDICAL GROUP OF THE REDWOODS

Practice address

5150 Hill Rd Ste C
Suite C
Lakeport, CA 95453-5100

Phone

(707) 263-4360

Fax

(707) 263-4036

NPI assigned

Jan 27, 2009

Last updated

Jan 27, 2009By 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, DO

Title

President

Phone

(707) 521-8879

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1679711857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3883 AIRPORT DRIVE",
            "address_2": "SUITE 300",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031671",
            "telephone_number": "707-521-8800",
            "fax_number": "707-521-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 HILL RD STE C",
            "address_2": "SUITE C",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535100",
            "telephone_number": "707-263-4360",
            "fax_number": "707-263-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER MEDICAL GROUP OF THE REDWOODS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "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": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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)
• Anne E Tait, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.