ANNADEL MEDICAL GROUP, INC
NPI 1114177425
Pediatrics in Santa Rosa, CA

Q: What is Annadel Medical Group, Inc's NPI number?

The NPI number for Annadel Medical Group, Inc is 1114177425. It was assigned to this organization in the NPPES registry on September 23, 2008.

Q: What is Annadel Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since September 23, 2008

500 DOYLE PARK DR, SUITE 100, SANTA ROSA, CA 95405(707) 544-6090(707) 544-6694 Get Directions Write a Review

NPPES record last updated: May 31, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Annadel Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNADEL MEDICAL GROUP, INC (NPI 1114177425) is a healthcare organization registered as a pediatrics in Santa Rosa, California and active in the NPI registry since September 2008. The organization lists Richard E Igram, Vice President, as its authorized official.

NPPES Registry Identity

NPI1114177425

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameANNADEL MEDICAL GROUP, INC

Location Address500 DOYLE PARK DR, SUITE 100Santa Rosa, CA 95405-4558

Mailing Address1515 E Orangewood Ave, Suite 302Anaheim, CA 92805-6824 · (714) 449-4800

Phone(707) 544-6090

Fax(707) 544-6694

Organization SubpartNo

Authorized OfficialRichard E IgramVice President · (714) 937-6280

Enumeration DateSeptember 23, 2008

Last NPPES UpdateMay 31, 2013

✔ NPI 1114177425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

500 DOYLE PARK DR, Santa Rosa, CA 95405

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEO ARTHUR SMITH MD

Family Medicine

500 DOYLE PARK DR, SUITE G-04
SANTA ROSA, CA 95405

Sonoma County (707) 303-8360

CYNTHIA R. INGELS MSN,N.P.

Nurse Practitioner (Family)

500 DOYLE PARK DR, SUITE 103
SANTA ROSA, CA 95405

Sonoma County (707) 579-1102

DR. JAMES CHARLES DEVORE MD

Family Medicine

500 DOYLE PARK DR, SUITE G04
SANTA ROSA, CA 95405

Sonoma County (707) 303-8360

DR. TOMAS VASILIAUSKAS M.D.

Internal Medicine (Cardiovascular Disease)

500 DOYLE PARK DR, SUITE G05
SANTA ROSA, CA 95405

Sonoma County (707) 576-7100

ERAN MATALON M.D.

Internal Medicine

500 DOYLE PARK DR, SUITE 304
SANTA ROSA, CA 95405

Sonoma County (707) 545-1700

RAMZI KHALIL DEEIK M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

500 DOYLE PARK DR, SUITE G-05
SANTA ROSA, CA 95405

Sonoma County (707) 255-8825

DR. JOEL E PAINE MD

Internal Medicine

500 DOYLE PARK DR, SUITE 300
SANTA ROSA, CA 95405

Sonoma County (707) 303-8344

RAZI M ARIFUDDIN MD

Internal Medicine (Gastroenterology)

500 DOYLE PARK DR, SUITE G04
SANTA ROSA, CA 95405

Sonoma County (707) 303-8360

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annadel Medical Group, Inc's NPI number?

The NPI number for Annadel Medical Group, Inc is 1114177425. It was assigned to this organization in the NPPES registry on September 23, 2008.

Where is Annadel Medical Group, Inc located?

Annadel Medical Group, Inc is located at 500 Doyle Park Dr Suite 100, Santa Rosa, CA 95405. The listed phone number is (707) 544-6090.

What is Annadel Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Annadel Medical Group, Inc was last updated on May 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.