NPIMap

Organization Active NPI

Redwood Regional Medical Group, Inc.

Doing business as Redwood Regional Oncology Center

  • Hematology & Oncology Physician
  • Santa Rosa, CA
National Provider Identifier
1891705257
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
3555 Round Barn Cir Ste 100
Santa Rosa, CA 95403-1757
Phone
(707) 528-1050
Fax
(707) 525-3874
NPI assigned
Aug 9, 2006
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) 546-4062

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0000X
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RX0202X
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X
Clinical Medical Laboratory 291U00000X 05D0612494 CA

Addresses

Primary practice location

3555 Round Barn Cir Ste 100
Santa Rosa, CA 95403-1757

Mailing address

3555 Round Barn Cir Ste 100
Santa Rosa, CA 95403-1757
Phone (707) 528-1050

Other identifiers 2

IdentifierTypeStateIssuer
GR0049202MedicaidCA
GR004920CMedicaidCA

Other names 1

  • Redwood Regional Oncology Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Redwood Regional Medica17 organizations share this tax ID, including this one
Part of
Redwood Regional Medica

Other organizations with this tax ID 16

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

View all 16

Locations

3555 Round Barn Cir
Ste 100
Santa Rosa, CA 95403
Phone (707) 528-1050

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1891705257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 ROUND BARN CIR STE 100",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031757",
            "telephone_number": "707-528-1050",
            "fax_number": "707-525-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 ROUND BARN CIR STE 100",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031757",
            "telephone_number": "707-528-1050",
            "fax_number": "707-525-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD REGIONAL MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REDWOOD REGIONAL MEDICAL GROUP",
        "enumeration_date": "2006-08-09",
        "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": "707-546-4062",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D0612494",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0049202",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR004920C",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwood Regional Oncology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.