Primary Care Associates Of The Redwood Empire Medical Group, Inc.
LBN: Primary Care Associates Of The Redwood Empire Medical Group, Inc.
Primary Care Associates Of The Redwood Empire Medical Group, Inc. is an health care organization with primary practice located at 500 Doyle Park Dr Suite 200, Santa Rosa CA 95405-4558. The organization recently has 6 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Primary Care Associates Of The Redwood Empire Medical Group, Inc. can be contacted via phone (707) 545-1300, or through Greaves, Lyman Bowen via phone (707) 545-1300.
Contact Information
Primary practice address
500 Doyle Park Dr Suite 200
Santa Rosa CA 95405-4558
Phone: (707) 545-1300
Fax: (707) 303-8304
Website:
Authorized official contact:
Name: Greaves, Lyman Bowen Doctor of Medicine (MD)
Phone: (707) 545-1300
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | California | |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | California | |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | California | |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | California | |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | California | |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | California |
Profile Details
| NPI number | 1245348820 |
|---|---|
| LBN Legal business name | Primary Care Associates Of The Redwood Empire Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Greaves, Lyman Bowen Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Jun 21st, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245348820 | NPPES |
| California | MEDICAID | GR0061380 | |
| California | MEDICAID | GR0061383 | |
| California | MEDICAID | GR0061381 | |
| California | MEDICAID | GR0061382 |
Popular Providers
-
Chase Dennis Emergency Medical Group Inc
1165 Montgomery Dr , Santa Rosa CA 95405-4801 -
Sutter Medical Group Of The Redwoods
4750 Hoen Ave , Santa Rosa CA 95405-7824 -
Jan O Sonander, Md
11 Doctors Park Dr , Santa Rosa CA 95405 -
Santa Rosa Trauma Physicians Medical Group
3536 Mendocino Ave Suite 250, Santa Rosa CA 95403-3634 -
Sutter Medical Group Of The Redwoods
2455 Summerfield Rd , Santa Rosa CA 95405-7815 -
Jeannette B. Currie, M.D. , Inc.
1275 4Th St Suite 151, Santa Rosa CA 95404-4057 -
L Reed Walker Jr Md Inc
990 Sonoma Ave Suite 5, Santa Rosa CA 95404-4802 -
Sutter Medical Group Of The Redwoods
3536 Mendocino Ave Suite 300, Santa Rosa CA 95403-3634