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

Redwood Pediatric Medical Group

Organization Specialist · NPI 1164574083

Redwood Pediatric Medical Group is a Specialist in Fortuna, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

3305 Renner Dr
Fortuna, CA 95540-3119
Phone: (707) 725-9355
Fax: (707) 725-2426
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G082256 (CA)

Record details

NPI number1164574083
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shalamar Ivey — Billing Manager · (707) 725-9355
NPI enumeratedJanuary 18, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3305 Renner Dr, Fortuna, CA 95540-3119

Other providers in Fortuna