REDWOOD FAMILY DERMATOLOGY
NPI 1710913231
Dermatology in Santa Rosa, CA

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: July 26, 2026.

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

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
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

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.

Dermatology
2725 MENDOCINO AVE
SANTA ROSA, CA 95403
Dermatology
2725 MENDOCINO AVE
SANTA ROSA, CA 95403
Physician Assistant (Medical)
2725 MENDOCINO AVE
SANTA ROSA, CA 95403
Physician Assistant
2725 MENDOCINO AVE
SANTA ROSA, CA 95403
Physician Assistant
2725 MENDOCINO AVE
SANTA ROSA, CA 95403
Dermatology
2725 MENDOCINO AVE
SANTA ROSA, CA 95403
Dermatology
2725 MENDOCINO AVE
SANTA ROSA, CA 95403
Clinical Medical Laboratory
2725 MENDOCINO AVE
SANTA ROSA, CA 95403

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 Redwood Fam Dermatology Medical Associates - A Medical Corporation's NPI number?

The NPI number for Redwood Fam Dermatology Medical Associates - A Medical Corporation is 1710913231. It was assigned to this organization in the NPPES registry on June 25, 2006. The provider is doing business as Redwood Family Dermatology.

Where is Redwood Fam Dermatology Medical Associates - A Medical Corporation located?

Redwood Fam Dermatology Medical Associates - A Medical Corporation is located at 2725 Mendocino Ave, Santa Rosa, CA 95403. The listed phone number is (707) 545-4537.

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.

Does Redwood Fam Dermatology Medical Associates - A Medical Corporation hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Redwood Fam Dermatology Medical Associates - A Medical Corporation was last updated on April 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.