Redwood Santa Rosa LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

REDWOOD SANTA ROSA LLC

Practice address

1727 Burbank Ave
Santa Rosa, CA 95407-7114

Phone

(707) 843-2529

NPI assigned

Feb 10, 2021

Last updated

Feb 10, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

REDWOOD SENIOR LIVING INC.As reported in NPPES

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

Authorized official

Name

Anthony BarbatoNPI 1275248007

Title

Chief Executive Officer

Phone

(415) 810-0145

Specialties & licenses 1

Addresses

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.

• Anthony Barbato

  • Driver
  • Bakersfield, CA
  • NPI 1275248007
  Authorized official Same address or phone

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1861084857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 KOLL CENTER PKWY STE 250",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945668062",
            "telephone_number": "415-810-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 BURBANK AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954077114",
            "telephone_number": "707-843-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD SANTA ROSA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REDWOOD SENIOR LIVING INC.",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "BARBATO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "415-810-0145"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Redwood Regional Medical Group, Inc.
• Redwood Regional Medical Group, Inc. (Advanced Imaging Institute)
• Redwood Regional Medical Group, Inc. (Redwood Regional Oncology Center)
• Redwood Regional Medical Group, Inc. (Redwood Regional Oncology Center)
• Redwood Regional Medical Group, Inc. (Redwood Regional Oncology Center)
• Redwood Toxicology Laboratory, Inc.
• Redwood Urology Medical Group
• Redwoods Endodontics, P.C.
• Charrise Reece
• Cassie Joelane Reed

• Assisted Living Facility in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.