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

Annadel Medical Group

Organization Specialist · NPI 1740602309

Annadel Medical Group is a Specialist in Santa Rosa, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone: (707) 303-8307
Fax: (707) 303-1992
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G22056 (CA)

Record details

NPI number1740602309
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bob Just — Coo · (707) 303-8307
NPI enumeratedJanuary 15, 2014
Last updated in NPPESJanuary 15, 2014
Mailing address1165 Montgomery Dr, Santa Rosa, CA 95405-4801

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