Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Primary Care Associates of the Redwood Empire Medical Group, Inc

Organization Registered Dietitian · NPI 1245348820

Primary Care Associates of the Redwood Empire Medical Group, Inc is a Registered Dietitian in Santa Rosa, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
6
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 200
Santa Rosa, CA 95405-4558
Phone: (707) 545-1300
Fax: (707) 303-8304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (CA)
Registered Dietitian Taxonomy 133V00000X (CA)
Pediatrics Physician Taxonomy 208000000X (CA)
Hospitalist Physician Taxonomy 208M00000X (CA)
Family Nurse Practitioner Taxonomy 363LF0000X (CA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X (CA)

Record details

NPI number1245348820
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lyman Greaves — President · (707) 545-1300
NPI enumeratedAugust 25, 2006
Last updated in NPPESJune 21, 2018
Mailing address500 Doyle Park Dr, Suite 200, Santa Rosa, CA 95405-4558

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