REDWOOD FAMILY DERMATOLOGY
NPI 1710913231
Dermatology in Santa Rosa, CA

Q: What is Redwood Fam Dermatology Medical Associates - A Medical Corporation's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since June 25, 2006CLIA Certified · 2 labs

2725 MENDOCINO AVE, SANTA ROSA, CA 95403(707) 545-4537(707) 545-6726 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 17, 2024, Nov 19, 2021, Nov 10, 2021 and 1 more (4 updates tracked since 2020).

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About Redwood Family Dermatology NPPES

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

REDWOOD FAMILY DERMATOLOGY (NPI 1710913231) is a healthcare organization registered as a dermatology in Santa Rosa, California and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Jeffrey Sugarman, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1710913231

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameREDWOOD FAM DERMATOLOGY MEDICAL ASSOCIATES - A MEDICAL CORPORATION

Location Address2725 MENDOCINO AVESanta Rosa, CA 95403-2805

Mailing Address2725 Mendocino AveSanta Rosa, CA 95403-2805 · (707) 545-4537 · Fax (707) 545-6726

Phone(707) 545-4537

Fax(707) 545-6726

Organization SubpartNo

Authorized OfficialJeffrey SugarmanOwner/president · (707) 545-4537

Enumeration DateJune 25, 2006

Last NPPES UpdateApril 17, 20244 updates tracked since enumeration

NPPES CertifiedApril 17, 2024

✔ NPI 1710913231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

2725 MENDOCINO AVE, Santa Rosa, CA 95403

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Other Names 1

Doing Business AsRedwood Family Dermatology

Secondary Practice Locations 2

Location 1555 S Dora StUkiah, CA 95482-5424 · Phone (707) 462-3996

Location 24727 Hoen Ave Ste ASanta Rosa, CA 95405-7898 · Phone (707) 545-4537

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Redwood Family Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 12 clinicians reassign Medicare billing to Redwood Family Dermatology, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Dermatology9

Micrographic Dermatologic Surgery (MDS)1

Nurse Practitioner1

Pathology1