Healthcare Provider Details

I. General information

NPI: 1679652358
Provider Name (Legal Business Name): REDWOOD REGIONAL MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 LYNCH CREEK WAY STE 102
PETALUMA CA
94954-2388
US

IV. Provider business mailing address

181 LYNCH CREEK WAY STE 102
PETALUMA CA
94954-2388
US

V. Phone/Fax

Practice location:
  • Phone: 707-766-7074
  • Fax: 707-766-7075
Mailing address:
  • Phone: 707-766-7074
  • Fax: 707-766-7075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID H. SCHMIDT
Title or Position: M.D./RADIOLOGIST
Credential: M.D.
Phone: 707-546-4062