OrganizationActive
Annadel Medical Group, Inc
NPI 1114177425 · Pediatrics Physician · Santa Rosa, CA
Annadel Medical Group, Inc is a Pediatrics Physician organization in Santa Rosa, CA (NPI 1114177425).
Provider details
- NPI number
- 1114177425
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Igram, Vice President(714) 937-6280
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 Doyle Park Dr
Suite 100
Santa Rosa, CA 95405-4558
Phone: (707) 544-6090
Fax: (707) 544-6694
Street-level locationGet directions
Mailing address
1515 E Orangewood Ave
Anaheim, CA 92805-6824
Registry dates
- Enumerated
- 2008-09-23
- Last updated
- 2013-05-31
Frequently asked questions
- What is Annadel Medical Group, Inc's NPI number?
- Annadel Medical Group, Inc's National Provider Identifier (NPI) is 1114177425, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Annadel Medical Group, Inc?
- Annadel Medical Group, Inc is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Annadel Medical Group, Inc located?
- Annadel Medical Group, Inc's practice location on file with NPPES is 500 Doyle Park Dr, Santa Rosa, CA 95405-4558.
- What is Annadel Medical Group, Inc's phone number?
- The practice phone number listed in the NPPES registry for Annadel Medical Group, Inc is (707) 544-6090.
- Who is the authorized official for Annadel Medical Group, Inc?
- The authorized official listed on Annadel Medical Group, Inc's NPPES record is Richard Igram, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Annadel Medical Group, Inc's NPI active?
- Yes — Annadel Medical Group, Inc's NPI (1114177425) is active in the NPPES registry as of the last update on 2013-05-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.