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 is a Pediatrics Physician 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
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

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