Organization
SANTA ROSA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH ALAN EILERMAN M.D. (PRESIDENT)
(805) 987-5041
Entity
Organization
Contact information
Practice address
3661 E. LAS POSAS RD, G162, CAMARILLO, CA 93010
(805) 987-5041
(805) 987-6297
Mailing address
3661 E. LAS POSAS RD, G162, CAMARILLO, CA 93010
(805) 987-5041
(805) 987-6297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A48615
CA
207R00000X
Internal Medicine Physician
A61469
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
G36258
CA
207RH0003X
Hematology & Oncology Physician
Primary
G43738
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ16399Z
BLUE SHIELD
CA
Enumeration date
08/08/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us