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

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: July 26, 2026.

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
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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 with the weekly NPPES data releases published by CMS.