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Pacific Redwood Medical Group Inc

Emergency Medicine Physician in Ukiah, CA · enumerated 2005 · authorized official Gary Fausone, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033103676

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Registry record

Entity type Organization (Type 2)
Legal business name Pacific Redwood Medical Group Inc
Practice address 275 Hospital Dr, Ukiah, CA, 95482
Phone (707) 462-7900
Fax (707) 462-7947
Enumeration date Sep 9, 2005
Last updated in NPPES Jul 31, 2018

Taxonomy & classification

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians Primary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
2080P0204X Pediatric Emergency Medicine (Pediatrics) Physician Allopathic & Osteopathic Physicians Secondary
2083P0500X Preventive Medicine/Occupational Environmental Medicine Physician Allopathic & Osteopathic Physicians Secondary
2083X0100X Occupational Medicine Physician Allopathic & Osteopathic Physicians Secondary
208M00000X Hospitalist Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Gary Fausone
Title President
Phone (707) 462-7900

Other identifiers

Identifier Type State Issuer
17165692005 Other CA STATE COMPENSATION INS
GR0093400 Medicaid CA -
352149100 Other - DOL (DEPT OF LABOR)
ZZZ06060Z Other CA BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Pacific Redwood Medical Group Inc?
Pacific Redwood Medical Group Inc is registered in NPPES as a Emergency Medicine Physician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-07-31.