OrganizationActive
Annadel Medical Group
NPI 1740602309 · Specialist · Santa Rosa, CA
Annadel Medical Group is a Specialist organization in Santa Rosa, CA (NPI 1740602309).
Provider details
- NPI number
- 1740602309
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Bob Just, Coo(707) 303-8307
- License
- G22056 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone: (707) 303-8307
Fax: (707) 303-1992
Street-level locationGet directions
Mailing address
1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Registry dates
- Enumerated
- 2014-01-15
- Last updated
- 2014-01-15
Frequently asked questions
- What is Annadel Medical Group's NPI number?
- Annadel Medical Group's National Provider Identifier (NPI) is 1740602309, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Annadel Medical Group?
- Annadel Medical Group is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Annadel Medical Group located?
- Annadel Medical Group's practice location on file with NPPES is 1165 Montgomery Dr, Santa Rosa, CA 95405-4801.
- What is Annadel Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Annadel Medical Group is (707) 303-8307.
- Who is the authorized official for Annadel Medical Group?
- The authorized official listed on Annadel Medical Group's NPPES record is Bob Just, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Annadel Medical Group's NPI active?
- Yes — Annadel Medical Group's NPI (1740602309) is active in the NPPES registry as of the last update on 2014-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.