PACIFIC REDWOOD MEDICAL GROUP INC – NPI #1033103676
Emergency Medicine

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.

PACIFIC REDWOOD MEDICAL GROUP INC is a provider located in UKIAH, CA. NPPES has assigned the NPI number 1033103676 to PACIFIC REDWOOD MEDICAL GROUP INC on September 09, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 8 years ago on Jul 31, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PACIFIC REDWOOD MEDICAL GROUP INC below.

NPI Profile for
PACIFIC REDWOOD MEDICAL GROUP INC

NPI Number
1033103676
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PACIFIC REDWOOD MEDICAL GROUP INC
Primary location
275 HOSPITAL DR
UKIAH, CA 95482
Phone: (707) 462-7900 Fax: (707) 462-7947
1 Other location(s):
232 Hospital Dr Ste B
Ukiah, CA 95482-4562
Phone: (707) 467-4994
Mailing address
PO BOX 2800
UKIAH, CA 95482-2800
Phone: (707) 462-7900 Fax: (707) 462-7947
Organization Subpart
No
Authorized Official
GARY FAUSONE
PRESIDENT
Phone: (707) 462-7900
Updated
Identifiers

Identifiers for PACIFIC REDWOOD MEDICAL GROUP INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE SHIELDCAZZZ06060Z
OTHERDOL (DEPT OF LABOR)352149100
OTHERSTATE COMPENSATION INSCA17165692005
MEDICAIDCAGR0093400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.