# REDWOOD REGIONAL MEDICAL GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** REDWOOD REGIONAL MEDICAL GROUP
- **Other names:** Advanced Imaging
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982791380
- **Legal business name:** REDWOOD REGIONAL MEDICAL GROUP
- **Authorized official:** HELEN COLLINS M.D. (PRESIDENT)
- **Authorized official phone:** (707) 546-4062

## Contact information

- **Practice address:** 652 PETALUMA AVE, SUITE I, SEBASTOPOL, CA 95472-4256
- **Practice address phone:** (707) 829-2141
- **Practice address fax:** (707) 829-2966
- **Mailing address:** 652 PETALUMA AVE STE I, SEBASTOPOL, CA 95472-4266
- **Mailing address phone:** (707) 829-2141
- **Mailing address fax:** (707) 829-2966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | Yes |
| 2085B0100X | Body Imaging Physician | — | — | Yes |
| 2085N0700X | Neuroradiology Physician | — | NULL | — |
| 2085N0700X | Neuroradiology Physician | — | — | — |
| 2085N0904X | Nuclear Radiology Physician | — | NULL | — |
| 2085N0904X | Nuclear Radiology Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 11/15/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0049209 | — | CA |