Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Annadel Medical Group, Inc

Organization Pediatrics Physician · NPI 1114177425

Annadel Medical Group, Inc provides Pediatrics Physician services in Santa Rosa, California. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

500 Doyle Park Dr Ste 100
Santa Rosa, CA 95405-4558 Not confirmed with CMS for 13 years — call before visiting
Phone: (707) 544-6090
Fax: (707) 544-6694
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1114177425
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Igram — Vice President · (714) 937-6280
NPI enumeratedSeptember 23, 2008
Last updated in NPPESMay 31, 2013
Mailing address1515 E Orangewood Ave, Suite 302, Anaheim, CA 92805-6824

Other providers in Santa Rosa