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: August 16, 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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D2144192

Redwood Family Dermatology · Ukiah, CA

Active · expires Dec 17, 2026

CLIA Number05D2144192

Laboratory TypePhysician Office

Certificate Effective DateDecember 18, 2024

Certificate Expiration DateDecember 17, 2026

Laboratory DirectorJeffrey L. Sugarman

Laboratory Phone(707) 462-3996

Laboratory LocationRedwood Family Dermatology555 S Dora St, Ste B, Ukiah, CA 95482

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2330563

Redwood Family Dermatology-Sonoma Ave · Santa Rosa, CA

Active · expires Sep 17, 2027

CLIA Number05D2330563

Laboratory TypePhysician Office

Certificate Effective DateSeptember 18, 2025

Certificate Expiration DateSeptember 17, 2027

Laboratory DirectorJeffery L. Sugarman

Laboratory Phone(707) 542-6313

Laboratory LocationRedwood Family Dermatology-Sonoma Ave1111 Sonoma Ave, Ste 110, Santa Rosa, CA 95405

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 14

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

LIGAYA FRANCIS PARK D.O.

Dermatology