PACIFIC REDWOOD MEDICAL GROUP INC
NPI 1033103676
Emergency Medicine in Ukiah, CA
NPI Status: Active since September 09, 2005
Contact Information
275 HOSPITAL DR
UKIAH, CA
ZIP 95482
Phone: (707) 462-7900
Fax: (707) 462-7947
- Organization
- Emergency Medicine
About PACIFIC REDWOOD MEDICAL GROUP INC
This page provides the complete NPI Profile along with additional information for Pacific Redwood Medical Group Inc, a provider established in Ukiah, California operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1033103676 assigned on September 2005. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Pacific Redwood Medical Group Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Gary W Fausone Md (President)
- NPI
- 1033103676
- Provider Name
- PACIFIC REDWOOD MEDICAL GROUP INC
- Entity Type
- Organization
- Location Address
- 275 HOSPITAL DR UKIAH, CA 95482
- Location Phone
- (707) 462-7900
- Location Fax
- (707) 462-7947
- Mailing Address
- PO BOX 2800 UKIAH, CA 95482
- Mailing Phone
- (707) 462-7900
- Mailing Fax
- (707) 462-7947
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-09-2005
- Last Update Date
- 07-31-2018
- Code Navigator
Location Map
Secondary Locations
- 232 Hospital Dr Ste B
Ukiah, CA 95482
(707) 467-4994
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 4 | 2080P0204X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 5 | 2083P0500X | Allopathic & Osteopathic Physicians | Preventive Medicine | |
| 6 | 2083X0100X | Allopathic & Osteopathic Physicians | Preventive Medicine | |
| 7 | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ06060Z | OTHER (01) | CA | BLUE SHIELD |
| 352149100 | OTHER (01) | DOL (DEPT OF LABOR) | |
| 17165692005 | OTHER (01) | CA | STATE COMPENSATION INS |
| GR0093400 | MEDICAID (05) | CA |
Reviews for PACIFIC REDWOOD MEDICAL GROUP INC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 3 | 3 | 1 | 0 | 3 | 6 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 2 | 0 | 6 | 6 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 2 + 0 + 6 + 6 + 1 + 4 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1033103676 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447231220 | DEBBIE L MARKS MD Individual | Emergency Medicine | 275 HOSPITAL DR UKIAH, CA 95482 (707) 462-7900 |
| 1104875475 | CHARLIE EDWARD EVANS MD Individual | Emergency Medicine | 275 HOSPITAL DR UKIAH, CA 95482 (707) 462-7900 |
| 1700836764 | BARRY SHEPPARD MD Individual | Emergency Medicine | 275 HOSPITAL DR UKIAH, CA 95482 (707) 462-7900 |
| 1104872910 | RCOA-ADVENTIST HEALTH, LLC Organization | Clinic/Center (Radiology, Mobile) | 275 HOSPITAL DR UKIAH, CA 95482 (866) 293-3500 |
| 1801842901 | EMILY TREADWELL FREY PA Individual | Physician Assistant | 275 HOSPITAL DR UKIAH, CA 95482 (707) 462-7900 |
| 1750321972 | LILLIAN BASNER FNP Individual | Nurse Practitioner | 275 HOSPITAL DR UKIAH, CA 95482 (707) 462-7900 |
| 1912943143 | TONYA TIFFANY SELBERG PA-C Individual | Physician Assistant | 275 HOSPITAL DR UKIAH, CA 95482 (707) 462-7900 |
| 1720016439 | RONALD E GUTH M.D. Individual | Anesthesiology | 275 HOSPITAL DR UKIAH, CA 95482 (707) 462-3111 |
| 1407885122 | LYNN DRESS-MEADOWS PA Individual | Physician Assistant | 275 HOSPITAL DR UKIAH, CA 95482 (707) 462-7900 |
| 1265524441 | GALEN INPATIENT PHYSICIAN Organization | Internal Medicine | 275 HOSPITAL DR UKIAH, CA 95482 (707) 462-3111 |
| 1730266412 | SUSAN ANN REED RPH Individual | Pharmacist | 275 HOSPITAL DR UKIAH, CA 95482 (707) 463-7345 |
| 1134290380 | JOSEPH R KIMBRO MD Individual | Specialist | 275 HOSPITAL DR UKIAH, CA 95482 (707) 462-3111 |
| 1477697084 | PHILIP MASAO TAMANAHA M.D. Individual | Radiology (Diagnostic Radiology) | 275 HOSPITAL DR UKIAH, CA 95482 (707) 463-7626 |
| 1043335664 | DR. RONALD LANDIS GESTER MD Individual | Emergency Medicine | 275 HOSPITAL DR UKIAH, CA 95482 (707) 462-7900 |
| 1043336670 | MRS. REBECCA RENEE HALE RN Individual | Registered Nurse | 275 HOSPITAL DR UKIAH VALLEY MEDICAL HOSPITAL UKIAH, CA 95482 (707) 462-3111 |
| 1891907937 | MR. RANDALL GARY MADDOX PT Individual | Physical Therapist | 275 HOSPITAL DR UKIAH, CA 95482 (707) 463-7346 |
| 1780897298 | JOSEPH ANTHONY MUNOZ DPT Individual | Physical Therapist | 275 HOSPITAL DR UKIAH, CA 95482 (707) 463-7346 |
| 1396958765 | EDWARD PATRICK MORGAN MPT Individual | Physical Therapist | 275 HOSPITAL DR UKIAH, CA 95482 (707) 462-3111 |
| 1699988337 | ROBERT FLOYD MERRITT PT Individual | Physical Therapist | 275 HOSPITAL DR UKIAH, CA 95482 (707) 463-7346 |
| 1659578383 | MICHAEL VAN DYKE PA-C Individual | Physician Assistant | 275 HOSPITAL DR UKIAH, CA 95482 (707) 462-7900 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033103676, enumerated in the NPI registry as an "organization" on September 09, 2005
The provider is located at 275 Hospital Dr Ukiah, Ca 95482 and the phone number is (707) 462-7900
This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 09, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.