Redwood Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A045693 Issued in CA

Legal business name

REDWOOD INTERNAL MEDICINE

Doing business as

Huppenbauer & Rangel MD

Practice address

3304 Renner Drive
Fortuna, CA 95540

Phone

(707) 725-4477

Fax

(707) 725-9209

NPI assigned

Apr 21, 2006

Last updated

Jul 2, 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

Mrs. Theresa Ann Sisson

Title

Office Manager

Phone

(707) 725-4477

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Huppenbauer & Rangel MD Doing business as

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1740246669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 RENNER DRIVE",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "95540",
            "telephone_number": "707-725-4477",
            "fax_number": "707-725-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 RENNER DRIVE",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "95540",
            "telephone_number": "707-725-4477",
            "fax_number": "707-725-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "SISSON",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "707-725-4477",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A045693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0042050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huppenbauer & Rangel MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philip L. Olkin, M.D. and C. Ray Jones, M.D.
• Felice Philips
• Lacey Pipher
• Anthony Pirouz, PA-C
• Red Phoenix Recovery LLC (Red Phoenix Recovery)
• Redwood Memorial Hospital
• Redwood Pediatric Medical Group
• Redwood Radiology Imaging Medical Clinic
• Redwood Women's Center, a Medical Corporation
• Redwood Women's Health Center

• Internal Medicine Physician in Fortuna, CA
• Providers in Fortuna, 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 Jul 2, 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.