NPIMap

Organization Active NPI

Redwood Regional Medical Group, Inc.

Doing business as Redwood Regional Oncology Center

  • Hematology & Oncology Physician
  • Petaluma, CA
National Provider Identifier
1841204518
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
REDWOOD REGIONAL MEDICAL GROUP, INC.
Doing business as
Redwood Regional Oncology Center
Practice address
110 Lynch Creek Way Ste a
Petaluma, CA 94954-2337
Phone
(707) 763-0600
Fax
(707) 765-1757
NPI assigned
Jul 28, 2006
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
REDWOOD REGIONAL MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Helen Collins, M.D.NPI 1326060617
Title
President
Phone
(707) 546-4602

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 05D0689028 CA
Hematology & Oncology Physician 207RH0003X Primary
Radiation Oncology Physician 2085R0001X

Addresses

Primary practice location

110 Lynch Creek Way Ste a
Petaluma, CA 94954-2337

Mailing address

110 Lynch Creek Way Ste a
Petaluma, CA 94954-2337
Phone (707) 763-0600

Other identifiers 2

IdentifierTypeStateIssuer
GR004920BMedicaidCA
GR0049200MedicaidCA

Other names 1

  • Redwood Regional Oncology Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Redwod Regional Med GRP17 organizations share this tax ID, including this one
Part of
Redwod Regional Med GRP

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1841204518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LYNCH CREEK WAY STE A",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542337",
            "telephone_number": "707-763-0600",
            "fax_number": "707-765-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LYNCH CREEK WAY STE A",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542337",
            "telephone_number": "707-763-0600",
            "fax_number": "707-765-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD REGIONAL MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REDWOOD REGIONAL MEDICAL GROUP",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-546-4602",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D0689028",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR004920B",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0049200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwood Regional Oncology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.