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NPI · 1164574083 · NPPES-sourced

Redwood Pediatric Medical Group

ActiveSpecialist
NPI Number
1164574083
Type 2 · Organisation
Taxonomy Code
174400000X
Contact
(707) 725-9355
License CA · G082256
Last Updated
About 5 years ago (Aug 2020)
Enumerated 2007-01-18
Primary practice addressCA · 95540-3119
3305 Renner DrFortuna, CA 95540-3119
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About this NPIWhat this record shows.

NPI 1164574083 is registered to Redwood Pediatric Medical Group, a healthcare organisation classified as "Specialist" and located at 3305 Renner Dr in Fortuna, California. The organisation's authorised official is Shalamar Ivey. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2007-01-18
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part A Provider

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Redwood Pediatric Medical Group accepts. To confirm in-network status with your specific health plan, contact Redwood Pediatric Medical Group directly at (707) 725-9355.

Frequently asked

Yes. NPI 1164574083 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Specialist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (707) 725-9355.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Redwood Pediatric Medical Group is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy174400000X
Last updated2020-08
Enumerated2007-01-18
StatusActive
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