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ANNADEL MEDICAL GROUP
NPI 1740602309
Specialist in Santa Rosa, CA

Active since January 15, 2014
1165 MONTGOMERY DR, SANTA ROSA, CA 95405(707) 303-8307(707) 303-1992 Get Directions Write a Review

NPPES record last updated: January 15, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Annadel Medical Group NPPES

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

ANNADEL MEDICAL GROUP (NPI 1740602309) is a healthcare organization registered as a specialist in Santa Rosa, California and active in the NPI registry since January 2014. The organization lists Bob Just, Coo, as its authorized official.

NPPES Registry Identity

NPI1740602309
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameANNADEL MEDICAL GROUP
Location Address1165 MONTGOMERY DRSanta Rosa, CA 95405-4801
Mailing Address1165 Montgomery DrSanta Rosa, CA 95405-4801 · (707) 303-8307 · Fax (707) 303-1992
Phone(707) 303-8307
Fax(707) 303-1992
Organization SubpartNo
Authorized OfficialBob JustCoo · (707) 303-8307
Enumeration DateJanuary 15, 2014
✔ NPI 1740602309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G22056
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1165 MONTGOMERY 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.

DR. RIDGELY OLIVER MULLER M.D.
Emergency Medicine
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 525-5207
MRS. SONOE M OFT OTR/L
Occupational Therapist (Physical Rehabilitation)
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 525-5300
BETHANY HOFFMAN
Registered Nurse (Medical-Surgical)
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 525-5300
KATE ESTHER BLACK MD
Anesthesiology (Pain Medicine)
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 546-3210
SAAD SULTAN PHARMD
Pharmacist
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 525-5380
CHASE DENNIS EMERGENCY MEDICAL GROUP INC
Emergency Medicine
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (925) 924-1600
JAMES JOHN MC KEITH M.D.
Emergency Medicine
1165 MONTGOMERY DR, SANTA ROSA MEMORIAL HOSPITAL
SANTA ROSA, CA 95405
Sonoma County (707) 525-5207
MATTHEW BRADY THOMAS M.D.
Emergency Medicine
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 546-3210

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's NPI number?

The NPI number for Annadel Medical Group is 1740602309. It was assigned to this organization in the NPPES registry on January 15, 2014.

Where is Annadel Medical Group located?

Annadel Medical Group is located at 1165 Montgomery Dr, Santa Rosa, CA 95405. The listed phone number is (707) 303-8307.

What is Annadel Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Annadel Medical Group was last updated on January 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.